28 GB com.plexapp.plugins.library.db file - is this normal? Seemingly causing unresponsiveness

Have a look at the statistics_media table in your database and see if there are many relatively recent writes with a null account_id column. If so, you may be able to mitigate the issue by deleting those entries. See this thread for (much) more detail:

This tool may be useful:
https://sqlitebrowser.org

Make sure to stop Plex Media Server before making any modifications to your database. And be sure to make a copy first.

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