As of the update to Unity 2019, there appears to be a case of VRAM leaks when VRC_CustomRendererBehaviour (sdk2) or RendererExtensions.updateGIMaterials() (sdk3) is used in conjunction with a world baked with enlighten and real time global illumination, to have dynamic emissive materials that require the emissive texture to be updated, such as video player emissions.
This appears to happen in both worlds that are still on Unity 2018, as well as worlds that have been updated to unity 2019, that make use of the above mentioned features. It also appears to happen in the unity editor, as you can see in this webm: https://nyanpa.su/f/492U1utH.webm
I can confirm this does not happen in editor in Unity 2018.
The VRAM continues to rise indefinitely, and stops when VRC_CustomRendererBehaviour/UpdateGIMaterials is disabled.
When VRAM is capped, depending on your set up, small amounts of stuttering can be observed, and large stutters whem vram needs to be freed up for other assets to be loaded, such as people joining the instance, changing avatars, toggling of assets and mirrors especially, and depending on the amount needed, this seems to cause the infamous 11 fps bug, and i've also managed to cause my vr compositor to hang doing so.
Reproduction steps:
  1. Turn on a gpu monitoring tool such as GPU-Z
  2. Go to a world that makes use of real time gi with dynamic texture emissives such as video player emissions
  3. Observe VRAM rising indefinitely, and stops when video emissions are disabled.
  4. When VRAM is capped, micro stutters can be observed, and large stutters when avatars load in, mirrors toggled on, or anything that requires VRAM to be freed up.
Worlds:
  1. Bedroom Theatre (unity 2018 ver): wrld_fff5d510-fc53-4e88-9d4e-1e0e45a17aff
  2. Bedroom Theatre (unity 2019 ver): wrld_68526515-f76a-4ded-a53c-6436bbd84e04
  3. Dynamic Theater (UDON): wrld_f8f1cedf-8789-49e8-b846-1a58d30c42ea
(do note that jetdog's world only has updateGIMaterials() running when a video is playing, can also emulate the effect by dragging the video screen emission slider back and forth)
As enlighten and realtime global illumination is considered as depreciated by unity in 2019, this seems more likely it is a unity issue rather than VRChat specifically, but I'm opening this canny here for now in case anyone else has observed similar behaviour, and if someone more well informed of this issue could contribute.