The Sims 3 ultimate fix patch for version 1.69 final version

@mcmike89  Okay, there are two separate issues here.  The first is your fps, as in, is it locked to the refresh rate of your monitor, or is it running excessively high?  Please check your in-game fps while using each tool—Nvidia Control Panel (with v-sync set to On, and again with it set to Adaptive), CP plus Nvidia Inspector, and CP plus RTSS.  Please switch between fullscreen and windowed modes for each as well.

I looked up the monitor you mentioned, and reports differ as to whether its refresh rate is 60 or 75 Hz.  You can try setting the fps limit at 75 if 60 doesn't work, both for Inspector and for RTSS.

To see your in-game framerates, bring up the cheats console (crtl-shift-C) and enter "fps on" without quotes.  A number will appear in the upper right corner of your screen.  Move the camera around and watch the number.  Let me know what it looks like, or the range if it's running in the hundreds.

For both Inspector and RTSS, please be sure to set the profiles for TS3.exe, since you have an Origin/1.69 install.  Please disable GeForce Experience as well, at least for now.

When you're testing RTSS, be sure to leave it running in the background.  You can minimize it to the tray, but don't X it out, or else it won't work.

The other issue is whether you're seeing screen tearing or not.  For each of these tests, please let me know whether it's there, and whether it's present all the time or just when you move the camera around.