Often ESP32 devices at low power can still transmit, but will start to fail to receive acknowledgements.

I have a guess, but no real way to test what's happening. On the scope the start of a transmission says the supply hard, but most of the packet the ramp rate is relatively low. Once the transmission stops and the radio turns over to receive mode, the ramp rate is much faster. On a third device I can record packets and see that they are being sent and acknowledged, but often retransmitted by the ESP who didn't seem to hear the acknowledgement.