For some reason the wp_core_block_css_files is persisting and preventing the loading of some styles. This has resulted in visual discrepancies between development and production deploys, despite identical code.
Initial thinking is to add the following:
See also WordPress#59111
Note that wp-config.php hacks didn't work easily, (see #71) and adding define( 'WP_DEVELOPMENT_MODE', 'core' ); didn't fix this issue anyway (as suggested here)