Sorry for bringing in cookie-cutter solutions, but this one has worked for me so far and eliminated the stuttering for good: disable and don't use any USB controllers when playing (At least until it's fixed). You can either use an Xbox Wireless Adapter or connect a DS4/DualSense via Bluetooth if you don't want to use a mouse and keyboard.
Something wonky about the spaghetti code is messing up the controller connection through USB and causing frame spikes.

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