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What I've tried: I purged the WP plugin cache as well as the Cloudflare cache but they're still huge, any idea what else could be causing this? It happens to both emojis in text blocks on the site as well as ones in the title of an embedded YouTube video.

Sometimes, updates can alter CSS rules. Inspect the emoji elements using the browser’s developer tools (right-click on the emoji and select “Inspect”) and see if there are any font-size or line-height rules being applied that could be causing the large size. If you find any, you can override them by adding custom CSS.
For example
img.emoji {
font-size: inherit !important;
width: auto !important;
height: auto !important;
}
Any chance you’re using Elementor?