I remember there's a PCI device that's meant to be snooping and manipulating RAM directly by using DMA. Pretty much one computer runs the game and one computer runs the cheat. I think kernel anti cheats are just raising the bar while pretty much being too intrusive

TFA explicitly describes those devices, and how anti-cheat developers are trying to handle this.

But the main point there is that this setup is prohibitively expensive for most cheaters.