And I daresay most of the corporate certs from companies like Microsoft and Red Hat are probably have pretty well-proctored exams too. To what degree their processes are applicable to a University environment I don't know.
I took one last year. Microsoft offer a choice of remote proctoring or in-person at a Pearson VUE test centre. I chose the latter.
You put your stuff in a locker. They compare your face to some official photo ID and take your photo. You sit the test. They print out your results along with your mugshot. That's it. It was very painless.