Modehunter

Thanks! This fixed a lot of the really bad stuttering I was having.

Edit: As someone said earlier, Dynamic Color Grading seems to cause a good chunk of stuttering. If anyone is having issues with suttering, try the settings in the original post and then turn off dynamic color grading.
Also, setting "Vulkan/OpenGL present method" to "Prefer Native" helps with performance a lot.
Another edit: Edited a few settings and Dynamic Color Grading no longer seems to be an issue?
Anyways, just tweak and experiment with the game and Nvidia Control Panel settings while running back and forth to see if the stutters disappeared/lessened.

I've been having a similar issue with stuttering while playing on the newest version. No idea how to fix it, though.
If I'd have to guess, it's got something to do with the game itself rather than your device or graphics settings.