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The pillar on the right looks great, the top and bottom pillars are a little worse and the pillar on the left has terrible layers with pock marks:

Any ideas what could be causing the pyramid to print good on one side and progressively get worse as it moves to the opposite side?

That's actually a pretty good looking pyramid. It's a challenging part to print.

Usually when an underhang gets sloppy like that, I think it's a temperature thing.

Are you using a layer fan? Is the nicer side of the pyramid the side that the fan was blowing from?