Hello fellow Tetris nerd with a -sort username :)
On the topic of reflexes decaying (I'm getting there, in my late 30s): Have you played Stackflow? It's a number go up roguelite disguised as an arcade brick stacking game, but the gravity is low enough that it is effectively turn based. More about 'deck' building, less about chaining PCs and C-Spins.
Stackflow looks nice! I'm a Balatro fan and I didn't know about this variant.
By the way, kudos on your feedback. If I was OP, I would've been honored to get that type of fine-tuning comments.