I was experiencing really bad headaches like I've never had before while I was using the X, but didn't connect the dots at the time. I had my eyes checked and the doctor confirmed my eyesight was fine, and suggested that it was perhaps stress related or eye strain from prolonged computer use at work. Solution: over the counter eye drops
One day I dropped my X and broke the back glass, so I switched to an old 6S+ (we usually keep one old phone in our house as a spare for when something like this happens) for a couple of weeks. Since it happened right before a work trip, I didn't have the time to get a replacement X right away.
Voila! No headaches during the 2 weeks, with zero lifestyle changes and if anything those weeks were more stressful than usual with the travel and work stuff.
Once I got back home I went to the Apple Store, paid my AppleCare+ deductible, got my replacement and went back to using the X. The headaches returned. I began to doubt if it was my phone, and one day after a particularly nasty headache I googled iPhone X eye strain headaches and learned that PWM may cause headaches in some people. So as a test I switched back and forth from my X and 6S+ over a few weeks, and determined that my eyes were not fatigued nor was I getting headaches when using the 6S+. I used notebookcheck to validate that our OLED TV, external monitor for my Macbook and iPad were all PWM free - I never got these headaches before November 2017, and never while using those devices for extended hours.
So I traded in my X and got an 8 (on IUP so I qualified for an "early" upgrade). I lost money, of course, but it was totally worth it to go back to the 8. I followed the keynote closely and held out hope that the XR wouldn't have this problem because of the LCD, even though some LCDs have PWM. I really did miss Face ID, the edge-to-edge screen and the buttery smooth UI of the X, so I'm now a very happy customer on Friday after picking up the XR.