I've still done negative real troubleshooting on this, but I wanted to follow up on something that happened recently:
Amps, real oil pressure, and engine temp all started reading obviously inaccurate on a big trip. Turning lights on and off moved the oil and temp needles, so definitely an electrical issue. Grounds all looked good.
Coincidentally noticed braking seemd to move the needles more than other lights. My brake light switch has been iffy forever, in that it had a deadzone towards the top of pedal travel where the brake lights would flicker off. Replacing the switch seems to have fixed the gauges.
The kicker is, I also pulled codes just in case, and I got 159 "Mass Air Flow Higher Or Lower Than Expected". I wonder if weird electrical gremlins could have been contributing to inaccurate MAF readings even before they got bad enough to break the instrument readings and trip the code.
In any event, I'm almost in the slow season at work, so I'll follow up on the EGR thing at some point.