Attached is a youtube link from some with the same issue.
I have an AMD Threadripper, GTX 1080ti, 1080p 240hz monitor (gsync), and 34g of ram.
I have tried everything in the nvidia settings including uninstalling and re installing the drivers.
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same exact issue as this video. tried every suggestion on this thread and on reddit and nothing fixes it. The only way i have been able to play is with a controller