Okay, after a consult, I have more suggestions.
First of all, @Gummingtons please reinstall DirectX 9, for the sake of being thorough. (I know Reshade is acting up, but why not cover your bases?) You don't need to uninstall anything; just download the installer from Microsoft and run it. Restart your computer afterwards. And please test with Reshade disabled or removed. If everything is fine, you can add it back later.
https://www.microsoft.com/en-US/download/details.aspx?id=8109
@MadPeachyTV Are the Sims 4 crashes recent, and is there any pattern to them? They might be unrelated—there are plenty of issues with the game right now—but let me know if there's something in common among them or if they appear to be related to the fps issues.
To you two and @JeanVW as well, from now on, please test in a clean user data folder, again just to be thorough. You can move or rename the existing Sims 4 folder in Documents\Electronic Arts, and a new one will spawn the next time you launch the game. Don't add anything to it at this point. When you're not testing, you can move or rename this folder and restore the old one, and your saves and content will once again be usable in-game.
(Also, it's easy to transfer any content you make in the new folder into the old folder, in case you want to save something from one of these tests. If you're not sure how to do this, just ask.)
Please try a clean boot again, but this time, when you reboot, disable any other tasks that might be running. Some apps don't get disabled in a clean boot, and this can be anything from MSI Afterburner or RivaTuner Statistics Server to an RGB lighting service. To make sure nothing else is running, open the Task Manager and scroll through the list of processes looking for anything that doesn't belong to Windows. If you're not sure what something is, feel free to ask. Here are the clean boot instructions again:
https://www.windowscentral.com/how-clean-boot-windows-10
If this doesn't help, please try again, except disable all peripheral devices other than the minimum necessary to use your computer.
If this doesn't help either, the next step would be hardware monitoring, to see exactly what happens when fps drops. I'll post instructions later if the above doesn't make a difference.