Ok here's what I came up with.
You can buy these caps for like $10 for 12 caps on Amazon.
You need to sand down the pattern on them (unless you like that stupid Carbon fiber look on an all black truck) and then paint them.
I did a pair with primer and then 1 without primer (I didn't sand down the one without primer).
If I had to do it again I would of just sanded them down and not used primer, as I was able to get a much darker black but that could just be because I have no idea how to use spray paint.
They also sell a white cap without a pattern that you could probably paint better since you don't need to sand a pattern off. They have been on back order for a while so I didn't bother.
These are how they look from a few angles.

These are what the regular caps would look like.

I think I still have the couple I painted but didn't sand and I can take pictures of them for reference, but for me I think the pattern looked dumb because it didn't match anything and stood out vs blended in which I feel was the whole point of covering the screwholes.
I hope this helps people who were trying to figure out what to do to cover the only silver metal on their truck.
You can also pull these off with the finger, it's stuck on there really good but if you NEEDED to get in and don't have power you could rip them off to use your key. It's 3m tape on the back so you could just put more on and save the caps.
None of the caps I had properly fit in the driver side keyhole area but you can buy a black cap and replace the existing key hole and just remove it. I personally don't mind the keyhole on the door.