Lag while using build mode SIMS4

@beingsoflight8  Is there a reason you're running such an old Windows build?  Version 1809 (build 17763) came out almost exactly two years ago, and your dxdiag lists a number of failed Windows updates.  The driver for your graphics card is new however, and a mismatch between the driver version and the Windows build can cause issues, although it doesn't always.

Please let me know if you have a specific reason not to update; if you don't, that would be the place to start.  I can find an ISO for build 1903, which may be a better bet, at least as an intermediate step, than trying to update straight to 2004.