These MacBooks have some issues when using external monitors. I use a Dell 4K 27" monitor with USB-C, recommended by Apple, and yet the computer's performance drops significantly in many areas. This has been happening since it was brand new, also occurred with my 2018 MacBook, and happens to a friend who has the same 2019 MacBook. Interestingly, if I mirror the screen to a TV over WiFi, this doesn't happen. It works fine. The issue seems to be with the cable.
Apple support is inefficient regarding this, at least here in Brazil. They only know how to follow protocols. Once, they said they would escalate my case to the engineering team in the U.S., but I never heard back. It's frustrating.
In the past few months, the computer's performance has declined even more. Here we go, falling into planned obsolescence once again.