For which $p,q\in \mathbb R$ is the following system stable?$$\frac{\mathrm dx}{\mathrm dt} = \begin{bmatrix} p & -q \\ q & p \end{bmatrix}x(t)$$
If I'm correct about this, isn't it just when the eigenvalues are $< 1?$ Or is there something more fancy to it? Any and all help appreciated.
No, the condition you think of is for discrete-time dynamical systems.
Here in the continuous-time case you need that the eigenvalues $p\pm i\,q$ have non-positive real part. You need an extra test for the purely imaginary case, as that can not in general be decided from the eigenvalues alone.