After 14 hours of Death Stranding I finally realized where is the ghosting I'm experiencing coming from.
I have the output resolution set to 1080p and have DLSS on, so the game is running at like 720p and upscaling. I need to set the output resolution higher value so that DLSS has more work with.
For those asking why DLSS, it's actually the best looking method of anti aliasing: https://youtu.be/ggnvhFSrPGE