The analysis of the report is based upon the Entirety of the computer
Meaning both Hardware and Software
Hardware wise
Battery failure - Your battery is reporting that it needs to be serviced.
High battery cycle count - Your battery may be losing capacity.
Apple Batteries are designed for 1000 Full Battery Cycles or 80% of its’ capacity before it needs replacement
About battery health management in Mac laptops
This should be your First Priority
Software wise
Runtime: 13:22
A more normal runtime is usually about 2 - 3 mins Tops
Performance: Poor
No Time Machine backup - Time Machine backup not found.
Poor performance - EtreCheck report shows poor performance. This is unusual.
The computer is heavily configured and over burdened with Security Software and Commercial VPNs
Commercial VPNs
They may not be what one believes they are doing for the computer and what they actually are doing behind the scenes and unbeknownst to the user ( you )
They may also reduce your Internet Speeds by upwards of 30%
https://gist.github.com/joepie91/5a9909939e6ce7d09e29
VPN: What you need to know - Apple Community
Third Party Security Software
There are no known Windows-like Viruses in the wild that self replicate and affect macOS, because of the underling UNIX Foundation and Permission Limitation.
The Operating System resides in a Sealed and Read Only Volume that cannot be opened by the User nor by Third Party Applications.
The Only thing this Antivirus software is protecting is the Bank Account of the Developers and for zero return to the User aside from the problems this software creates.
Security. Built right in
Mac app security enhancements
The Built in Security is all that is required to protect the computer.
Protecting against malware in macOS
None of which are needed and beneficial to the computer
Added, are softwares that appear to have been Migrated from older version of macOS that could make them incompatible with macOS 26 Tahoe
What follows is not presented lightly
Start Over from Scratch
For Apple Intel computers >> Use Disk Utility to erase an Intel-based Mac followed by How to reinstall macOS
Migrate only your User Account
If going this route - I suggest Not using Startup Assist to migrate everything back.
This will probably Re-Introduce ( any questionable Third Party Software ) back into the Operating System .