When using vertical sync I also turn triple buffering on according to the typical scenarios usage.
Triple Buffering
https://i.postimg.cc/sDSCMJgM/Triple_Buffering.png
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Win 10 64-Bit
16 GB RAM
Intel Core i7 9700K @ 3.6 GHz
NVidia RTX 2070
1 TB SDD
1 TB HDD
G-Sync compatible monitor turned on
No idea about fps since I did not enable that but this is how TS3 runs, if I remember correctly, with just NRass MC/Cheats/Integration and NRass NoCd. Runs the same without any mods as well though those listed are not GPU/CPU based but rather gives more control over what is already in-game for the most part.
https://youtu.be/BtfrhN8rGpA