I have a 43" screen. I bought a very small but generic UVC camera on AliExpress. With this I can lower the camera down on the screen without be too obtrusive while dangling on the wire. This gives a really great result even if the change is just on my end. People seems much more "present". I can only imagine how "real" it would feel if done on both ends.
Before this I was using an Elagato CamLink with a Canon EOS RP. While it gave a great quality image the offset position was not worth it. Furthermore it seems that most common video chat programs downsamples as noone saw a difference between this and a crappy 720 webcam even though it looked glorious on my end.
So have a go with a cheap small FHD UVC camera. It made wonders for me.