Stuttering still over 3 years! Any help?

[AstroCat]

Ok I am using the 174.74 drivers. And I have it set to Multi-display mode, basically non-SLI.

Settings are good, 4xAA, 16x Ansio, HQ, vsync and TB on. Frames are staying near 60 and everything maxed in the .ini except Water at 2.

If I play like this it is TONS better.

The 2 keys for me for sure were:

1. NON SLI
2. Water not at 3

Although Water 3 is much better than it was before with SLI on, Water 2 still looks pretty good as well and makes it even smoother.

As a matter of fact this is the best the game has ever run.

I did notice one more culprit of pauses. The first time it loads any radio chatter up I get a little pause, but after the phrase is loaded in, no more pauses. Any insight in to this one? I've read other people have it but they just end up turning off the chatter, but I kind of like the immersion of it.