Breegrace456 Do you have the Nvidia Control Panel installed on your computer? (You might have the Nvidia App instead, and I don't know as much about it.) If you do have the CP, which you would be able to open by right-clicking your desktop, one setting that might help is Dynamic Super Resolution. In the CP, choose Manage 3D Settings > Program settings, select ts4_x64.exe, and pick the lowest DSR value. Since you're playing at 1080p, that should be 1.778x, or 1440p. If that isn't good enough, try 4x.
DSR is a setting that tells the GPU to render the program in question at a higher resolution than what the program is calling for, then scale it down to fit afterwards. It does take more resources, but your GPU is capable of handling the extra load. And for some reason, sometimes this actually makes certain games run better than they do at the native resolution.
I would expect the Nvidia App to have this option too but don't know exactly where it is.
If that doesn't help, try playing in a clean boot:
https://support.microsoft.com/en-us/topic/how-to-perform-a-clean-boot-in-windows-da2f9573-6eec-00ad-2f8a-a97a1807f3dd
The one service to leave enabled is the EABackgroundService, which the EA App needs in order to run. Disable the rest as described.
When you reboot your computer, go through the Task Manager's background processes list shutting down any service that doesn't absolutely need to be running, for example anything from MSI Afterburner to RGB software might still be enabled. If you accidentally kill a critical process and it doesn't restart on its own, just reboot your computer again.
Don't open anything other than Sims 4 and the EA App while testing, not even a browser window.
If this helps, you can selectively reenable services until you find the culprit, then either leave that disabled or (if it belongs to an app you want to keep using) let me know what it is so we can try to fix the underlying issue.
If that doesn't help either, try doing a clean uninstall and reinstall of the graphics driver, as described here:
https://crinrict.com/blog/2019/02/clean-re-install-of-graphics-drivers-with-display-driver-uninstaller-ddu.html
Except, try a slightly older driver from Nvidia. You can get them here (choose Game Ready Driver as the Download Type to go back further):
https://www.nvidia.com/en-us/geforce/drivers/
I would try 581.80, from November 4, since the next driver after is a version jump, which usually indicates something significant changed. I'm not saying that a driver update caused this, but it's possible the newest driver combined with how Sims 4 runs these days means more stutter.
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I'm curious as to whether the stutter depends on having sims or pets in the picture. Do you see it when looking at an unpopulated lot, other than whichever single sim you bring with you? The other sims wouldn't even necessarily need to be in the frame, just close enough that the game has to account for them.