What's the problem this feature will solve?
Basically what #9134 solved, with the addition of subprocesses being spawned by the SUT or being the SUT itself (I regularly use pytest for non-python utilities and the likes)
Describe the solution you'd like
That at the same time the content of pythonpath is prepended to sys.path, it's also prepended to os.environ['PYTHONPATH']
Alternative Solutions
python-dotenv has understandably rejected special support for PYTHONPATH (theskumar/python-dotenv#36). Though I guess pytest-dotenv might be open to that? I haven't found any mention of that on their bug tracker.