How to backup QNAP Plex Server

They kinda do…

https://support.plex.tv/articles/201553286-scheduled-tasks/
(Unsure if this is a PlexPass thing only though?)

Above will make a backup of the database

If you want to backup all your metadata, then I suggest a scheduled rsync task in QTS backup station

You’ll need to backup the complete Library directory, that you can find in the QNAP FAQ in Q11, in a library below that named Library