Re: The Sims 3 ultimate fix patch for version 1.69 final version
@mcmike89 You may have v-sync on, but you can try fiddling with the settings, for example switching from "on" to "adaptive." The Control Panel settings don't always work though, and never work in windowed mode. Check your in-game fps to make sure it is in fact locked to the refresh rate of your screen: Bring up the cheats console (crtl-shift-c) and enter "fps on" without quotes. The number will appear in the upper right corner of your screen. ("fps off" makes it go away.) If it's running too high, you can add Nvidia Inspector (free download) to the mix—I'm guessing your Alienware has an Nvidia card?—to see if it helps. Settings for Inspector are in this post, under the second spoiler:
https://forums.thesims.com/en_US/discussion/comment/16540301/#Comment_16540301
Since you're on patch 1.69, be sure to use TS3.exe, not the one with the W in it, to set up the profiles.
You can also try switching between fullscreen and windowed modes, again with Inspector in the picture since CP won't work. If windowed mode is better, you can use the Windowed Borderless app, which works very well with TS3.
You can also try RivaTuner Statistics Server. It often helps with screen tearing on a variety of cards. Unlike the other tools, it does need to be running while you play. Using it is pretty straightforward, but let me know if you want a screenshot.
As for the bugs and glitches... no, there's no patch forthcoming, now or probably ever. TS3 has been out of development for over five years now. Many of us just use mods for most of the issues and try to avoid the others.