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You may want to rewatch the video analysis because the "Deltatime" stuff is only for the choppy physics animation issue, and the suggested launch parameter + 30 fps external cap is only a "workaround" for this particular issue.
The main cause of this game's recurrent traversal stuttering/hitching is the flawed, misconfigured, or unoptimized asset streaming (mentioned by Alex DF in his analysis) and garbage collecting (engine) components.
i mean come on bloober. this is a quality "https://youtu.be/T28KpvE8DkE?si=ljupClTeLccnm6tV / https://youtube.com/live/Yd71vg-vqF8?feature=share" game... by the way thats my game experience in recordings.
You should see it on my Ryzen 5 5600 and RX 6600. Forget the stutters, I can live with that. For me it's the horrible choppy frame rate. Even when I'm getting ~70 FPS it feels like 25 FPS, and the mouse movement is like slinging a wet noodle.
Meanwhile, on my weaker Ryzen 5 2600, GTX 1660 Super, it runs about the same, maybe better. It seems this game hates AMD GPUs.
I cap it at 68 and get 68 most of the time. It just "feels" like 25. Capping it lower would just make it worse. Anything below SOLID 60 FPS is "unplayable to me after getting used to 144Hz and getting 120+ in most games. I have most settings on low, FSR 1-Quality, -dx11. Anything else is unplayable.
Made zero difference in the hospital, but I am running dx11. This a dx12 only thing?
EDIT: Those two setting made a huge difference in DX12! Now DX12 runs as well as DX11 for me. Thanks.
oh boy, i can imagine those settings neuter the visuals.