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A duplicate lead may get created if the lead is a SFDC COntact and you are trying to assign it to an SFDC Queue. There should not be a duplicate for a click.
If there were existing dupes, Marketo will assign the click to the record that qualified for the original campaign. If that record had not been previously sent to SFDC, it will then sync (if it meets whatever criteria you setup) and create a dupe.
So you should check if you are connecting Programs to SFDC Campaigns as well as whatever MQL sync flow you setup.
I do not believe this is an integration error, but a symptom of your MQL flow and the number of dupes in your system. Ask Support and your SFDC Admin to help investigate this.