xyzulu Restarting the PHP container didn't fix it.
And I might just disable redis. This web server has been getting hammered by a DDoS attack (it's a forum and was seeing 50,000 extra "users" that would all show up at once every few minutes) so Redis was required, but since I got that fixed my load average is under 1, and disabling Redis would probably be fine. Was not fine with all those users hitting it.
I moved to Apache until this DDoS - load spikes with Apache were insane (over 100) and I couldn't optimize it down below 80, and turning Litespeed back on got things to a load average of 5ish.
And it's kind of cool to see the number of lsphp processes ramp from 40 to 120 in about a second. Other than this weird issue I'm really liking Litespeed.