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And of course graphics settings but I guess you've already tried that.
You can try lower the graphics at minimum, dont use antialiasing and close all the app not needed, plus in the antivirus, add to exclude path where your game is installed,because unwanted scan of the files can lower the performance too.
Edit: Without knowing your specs the best solution when the CPU is the bottleneck is to increase resolution so less stress is put on your CPU and is instead on your GPU.