I've been trying to debug this sloppy mess my printer call finished prints for a while now. So far for PETG I've tried changing temperature, print speed, retraction settings, and cooling, as well as some other minor changes. It all looks about the same.
I'm no expert, but I think the Z axis on my machine (Anycubic Kobra Max) is pretty decent, it has dual z motors and everything.
I don't really want to change layer height more than I have to, since I need a smooth surface, but I can switch to a 0.2 mm nozzle.