Funny thing is it's really bad with 388.13, I'm going to try and roll back.
Edit: I installed the update during patch downtime
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let me know if you have any success would be interesting to gather more data from users to pinpoint where its botched thanks!
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Reverting back to 388.00 fixed the micro stuttering and it feels smooth again. I did hit one big stutter once in a crucible match but it could be related to something else. Definitely try it out.