Vsync and frame rate limiting bugged / causes performance issues

When enabling Vsync and/or lowering the frame rate limiting (via the slider), the game frequently stutters and performance drops considerably. CPU and GPU usage remains low while this happens.

Disabling Vsync and moving the FPS limiter to the maximum (144fps) eliminates the problem but introduces screen tearing.

GPU: Radeon RX6800XT with High settings
CPU: i9 9900KF

I have the same problem. The game freezes every few minutes for a few seconds and I have no idea what could be causing it. Frame limit set to 60. I don’t have this problem in any other game.
GPU: Radeon RX 6600

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