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If Steam Deck has launch options put -lowdetail or -ultralowdetail into launch options. The game will look ugly but atleast it'll run at the right framerate.
Softwares such as MSI Afterburner and Rivatuner being in the background though again not sure if possible on Steam Deck
Try this guide too so skip to "Meat Boy moves overly fast, jumps weird aswell as having FPS problems" again unsure if it'll help you but let me know for sure
https://steamcommunity.com/sharedfiles/filedetails/?id=2793271567
Try look at the guide provided above, other than that there really is not much that can be done sadly.