Tankless water heater - not consistent hot water output
We have a basic Bosch tankless, NG 117 kBTU/h, with a standing pilot light, no a/c power required, all mechanical controls, discontinued model I think, been in service 12 years. It worked fine until I changed to low flow shower heads (1.4 gpm). I took out the flow restrictors in the shower heads and the water heater worked again. So that is my experience.

Your Noritz NR981-OD-NG is larger and with more features so there are more things that can go wrong. If you remove your shower head and get full flow of hot water, does the water get hot? Or if you turn on all the hot taps in the house, do you get hot or even warm water?

Is the variable burner at fault? Is it stuck on 16 kBTU/h? Is the gas pressure and flow adequate for the heater? Can you tell from the gas meter if the heater is pulling the amount of gas required for maximum 200 kBTU/h heating?