If SSO login is used (e.g. SAML) in a multi worker setup, it should be mentioned that currently all SAML logins must run on the same worker, see https://github.com/matrix-org/synapse/issues/7530
Also, if you are using different ports (for example 443 and 8448) in a reverse proxy for client and federation, the path `/_matrix/media` on the client and federation port must point to the listener of the `media_repository` worker, otherwise you'll get a 404 on the federation port for the path `/_matrix/media`, if a remote server is trying to get the media object on federation port, see https://github.com/matrix-org/synapse/issues/8695