> If I understand correctly, would they need to enable "Pseudo IPv4" on their Cloudflare account the

If I understand correctly, would they need to enable "Pseudo IPv4" on their Cloudflare account then?
No, it'll always be that IPv6, regardless of their settings or yours. It's just the IP Workers use cross-zone/account. You can use the CF-Worker header to tell which zone sent it
Edit: Psuedo IPv4 on their zone would, your settings don't effect anything though
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