Eventually I wrote an "image sorter" that I found was hanging up when the browser was trying to download images in parallel, the image serving should not have been CPU bound, I was even using sendfile(), but I think other requests would hold up the CPU and would be block the tiny amount of CPU needed to set up that sendfile.
So I switched from aiohttp to the flask API and serve with either Flask or Gunicorn, I even front it with Microsoft IIS or nginx to handle the images so Python doesn't have to. It is a minor hassle because I develop on Windows so I have to run Gunicorn inside WSL2 but it works great and I don't have to think about server performance anymore.