Interesting that it's only W11. Let's cover all the bases.
Check your permissions - even if you think they are fine - just double check.
https://www.ajtek.ca/wsus/wsus-permissions-wsuscontent-registry-and-iis/
Have you enabled UUP mimetypes?
https://www.ajtek.ca/guides/how-to-prepare-for-on-prem-wsus-uup-updates/
Run a wsusutil reset
& "$env:ProgramFiles\Update Services\Tools\WsusUtil.exe" Reset
Leave your WSUS Server alone for a full 24 hours. There are no notifications of when this process is running or finished. The reset will verify that every update metadata row in the WSUS database corresponds to update files stored in the local update file storage location on your WSUS server. If update files are missing or have been corrupted, WSUS downloads the update files again.
Then, in 24 hours, check the File Status column and see if the issue still exists.