Thank you for the reply. As mentioned above, I erased my SSD, re-installed Mojave fresh, then re-did the test, so there is no additional software installed aside from Apple's.
Graphics Card: NVIDIA GeForce GTX 775M 2048 MB
Apple's diagnostic test (pressing D) doesn't show any issues, I know Apple store tech's have a more extended one but diagnosing Graphics card issue is tough.
And voila, I believe I found something, its HEIC vs JPG... OP, please try switching on your iPhone X to Compatible mode which will create photos in JPG format. I have taken two photos just now and recorded the video as I am switching between the HEIC and JPG photo in Finder. The JPG photo exhibits no artifacts while the HEIC does.
Now that does NOT explain why this issue does not happen with many other HEIC users so there must be something still to do with the Mac 😕