I hope this helps someone, as it took some time for me to find.
Boot into BIOS, turn on Advanced Mode if you are not already using it.
On my Aorus board, the setting for PTT is under Miscellaneous.
On other Z390 boards, they put PTT under Peripherals.
I passed the Windows 11 test after this and will likely cancel my order for my chip, as I overpayed.
Also, make sure you download the latest Windows 11 Tool from Microsoft. It has been updated to tell you the particular reason for failing, which helped.