I made a complete profile for Streamlabs OBS, but the commands do not work while using them. I can see the commands are being properly recognized within Voicebot since Streamlabs OBS is on monitor #1, and Voicebot is visible on monitor #2, so I can see that voicebot is recognizing and doing the scripted actions, but none of the keypresses are working. I tested them and they work but when I attempt to do them normally they do not activate.

Yes, I run it as admin

Have you posted your OBS profile. I use OBS all the time and would love to see what you have done.