[mrprice33]

I was able to really help my stuttering and performance issues by changing it to Fullscreen Windowed and turning off all vsync options. I use Rivatuner and nVidia inspector to lock it at 60.

But you can see that the game performance is all over the place. I monitor my GPU usage with rivatuner and it fluctuates a lot from 110% to 70%, even with a steady amount of action happening. More optimization needs to be done.