Calibration Cube Help

I’m attempting to remove horizontal lines from my prints and have tried everything: Temp, speed, flow rate, acceleration adjustment and I still get horizontal lines. So I decided to print a calibration cube and this is what I got:

I have absolutely no clue what has happened to my printer. It’s progressively gotten worse over the months.

Thoughts? Solutions? Anything?

Cube printed .2 layer height
1 wall
spiralized
Line width .48 (all)
speed 100mms
temp 220
bed 60