Turns out digging in for better context quickly led me down the right path; it was due to "ACME server returned an error: urn:acme:error:unauthorized :: The client lacks sufficient authorization :: Error creating new authz :: Validations for new domains are disabled in the V1 API (End of Life Plan for ACMEv1)". Adding a patch for letsencrypt-nginx-proxy-companion did the trick.
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