I haven't noticed much change with brakes and flash hiders.
I have tested bare barrel vs muzzle brakes / flash hiders vs suppressor with a few rifles. There was no measurable difference between bare barrel and the brakes/FHs at short range (100-200 yd), statistically.
Suppressors, however, always change the POI on my rifles. Always.
It is usually predictable and repeatable, but sometimes not.
Group size doesn't change much (though usually for the better, if it does), but the impact does shift.
It may be a minor shift, like with my 6.5-284 Norma, its stupidly heavy barrel, and a shift of only about 5/8" at 100 yd.
Or it may be more substantial.
The most extreme combination in my safes is a SilencerCo Harvester .300 on my 19" barrel .270 Win Ruger M77 Mk II. POI shifts about 8" down and 1-4" left at 100 yards with the suppressor attached. (The windage shift is not predictable, other than being in that range.
)
So, come August or September each year, the suppressor gets screwed on tight. The scope is re-zeroed for hunting season. And they don't come apart again until hunting season is over. (By which point, I usually have a backlog of things waiting for that suppressor to be available again, because the other Harvester was also screwed tight to something else, like the 6.5-284.)