I would not be upset if you added a bit of RAM even though the report shows your Mac was not starved for RAM at the time of the test.
The report shows your Mac clearly shipped with Apple's Fusion drive, but the report also suggests that the two component parts of Fusion, a small factory SSD and a much larger mechanical HDD, are not speaking to each other. In other words, the storage system has"split."
A mech-only drive config was never offered in that iMac model.
Before doing anything else, see this Apple article and use the test at the start to see if the two componets have lost their software connection:
How to fix a split Fusion Drive - Apple Support
If the test shows you are "split," fixing it per the article (an at-home thing) may make your day a whole lot better. Back up everything first.
Your current drive scores:
Performance:
System Load: 1.62 (1 min ago) 1.41 (5 min ago) 0.98 (15 min ago)
Nominal I/O usage: 3.58 MB/s
File system: 20.78 seconds
Write speed: 617 MB/s
Read speed: 1465 MB/s
are are the low-end range of expected Fusion performance in your model. EtreCheck reports I have for that Fusion drive config in late Intel iMacs are Writes at 600-900 Mb/sec and Reads for 1400 up to 2000 MB/sec. A file system score of 21 seconds shows it is healthy per Etrecheck's Help menu.
So before you start throwing parts and money at this...there are implications ot consider:
Internal drive upgrade implications:
— The factory SSD can be replaced with a large one that can do up to 2700MB/sec both ways, but its slot is on the "wrong" side of the logic board. Accessing it requires almost a complete gutting of a computer that Apple did not design for us mere mortals to access. If you cannot do the work, expect 2-3 hours of pro labor and US$70-90/hour. Some Apple Authorized Service Providers will not work on sealed-case iMacs.
— Changing the 1 TB internal mech hard drive to SSD will be a LOSS of performance. An SSD on the main bay drive bus (SATA-6) is constrained by the bus rating to 500-600MB/sec both ways.
External drive implications:
— The cheapest external option ( USB3 enclosure with an SATA-6 SSD) with be even slower, about 400MB/sec both ways). Big downgrade.
— More expensive Thunderbolt drives can do a 2700MB sec and would give a big performance boost.
But there is an issue: Recent price increases for fast solid-state storage skyrocketed last year. A litlle mid-speed 1TB external I bought from OWC last March for US$100 is now over US$250 !!

and it's not even the fastest option!
Compared to that, fixing a split Fusion drive, something you do, the cost differential is huge.
I would vist the Adobe forums to see if thi is expected or a problem:
Creative Cloud Libraries Synchronizer 51.88 % (Adobe Inc.)
And I have to ask. These entries are new to me:
Diagnostics Information (past 60 days):
2026-01-05 13:44:06 rmdinspect Crash (2 times)
Executable: /System/Library/PrivateFrameworks/RemoteManagement.framework/rmdinspect
2026-01-05 13:44:06 managedsettingsdiagnoticstool Crash (2 times)
Executable: /System/Library/Frameworks/ManagedSettings.framework/managedsettingsdiagnoticstool
Is this a company-owned computer, or was it at one time? If so, that adds a new set of implications and problems.