A recent update caused presses of the Option button (which sends meta) to open the application launcher in KDE and steal focus from the game. The game also receives the press. This happens both with Steam Input enabled and disabled. Disabling the keyboard/pointer option in KDE settings for the game controller fixes the issue, but then KDE no longer detects input and launches the screensaver (as it warned me it would).
It is worth noting I do run custom udev rules to disable the touchpad being intercepted by the desktop (which was breaking games that have native dual sense support and need gestures as KDE was stealing the inputs and acting on them).
% cat /etc/udev/rules.d/99-ignore-ds5-touchpad.rules
# USB Connection
ACTION=="add|change", ATTRS{name}=="Sony Interactive Entertainment DualSense Wireless Controller Touchpad", ENV{LIBINPUT_IGNORE_DEVICE}="1"
# Bluetooth Connection
ACTION=="add|change", ATTRS{name}=="DualSense Wireless Controller Touchpad", ENV{LIBINPUT_IGNORE_DEVICE}="1"