Check out pcileech. Private hackers are using the FPGA module now. Some anti cheats are proctored these days, they see what you see to eliminate ESP/visual indicators. They’ve only just added mouse/hand aim proctoring (some DMA devices made automatic adjustments to the mouse direction with the help of hacked and custom mice - so you see an enemy left, your hand moves right, the mouse movement is overridden and moves left).

It’s very cool.

Non proctored hacking is totally defeated, the last available bastion is audio hacking (just continuously play beeps where enemies are so even if they’re hiding and not moving, even a proctored session would be able to make use of it).