At the moment I'm just using "sops" [1]. I have my env var files encrypted uth AGE encryption. Then I run whatever I want to run with "sops exec-env ...", it's basically forwarding the secrets to your program.
I like it because it's pretty easy to use, however it's not fool-proof: if the editor which you use for editing the env vars is crashing or killed suddently, it will leave a "temp" file with the decrypted vars on your computer. Also, if this same editor has AI features in it, it may read the decrypted vars anyways.