Used space out of control

I am not sure which version started this, but it was recent (e.g. a month). I am seeing my space being consumed daily by 1-2%, currently at 74%. I previously used a Pie 4 8GiB with a 32GiB microSD. If I had continued with that setup, it would have hit capacity. Currently I am on a VMware setup with 128GiB drive.

What could be consuming my space at such a high rate, how do I find the cause, and how do I resolve this issue?