Using the latest Monado/OpenComposite/etc., and setting up OpenXR properly according to https://monado.freedesktop.org/valve-index-setup.html#3-configure-the-openxr-runtime (I used that guide in its entirety instead of Envision to make sure that every step worked correctly.), the game takes a minute to launch, but otherwise runs great under Monado.
I also used proton experimental to make sure that all the EAC bits worked correctly, which I had no problem with.
The game is a stuttery mess under SteamVR, like most games under SteamVR.