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Turn down settings, shadows, v-sync, reflection.
If you are not using an SSD yet, i'd consider that.
(Using paragraphs would be nice if you consider no one likes to read a wall of text)
Edit: For comparisons. I got Ryzen5 2600, 16 GB RAM, GTX 2070, System (W10 pro) on SSD, some Games on HDD, latest games on NVME.
Parts of my system might be older than yours!
It might be too much to hope that someone else has a similar set up and has a driver recommendation. I hate playing the "which nvidia driver doesn't crash my computer" game. My OS is on a SSD, but games are not.
you can also try lossless scaling(steam), fps jumped to 100+ from 30(native and adaptative graphics off), but it can make some graphical glitchs sometimes,
inside the game dynamic culling helped a bit, fsr can help too but im using lossless scaling with native graphics so it look way better.
also install the game in a ssd, yes the game run 100x better.
disable all overlays steam and nvidia they can make your fps drop, newer drivers arent always better, find one and stick with it.
windows 10 if corrupt can make your games lag, for some reason you can use it like it's normal but everything get slow, so you need to install a new one or try to repair( not saying that's what happening to you, but it's a tip)
As for optimisations, make sure that multhithreading is enabled in game and if it is already try turning it off as weirdly this might help in your case.
Also try CPU Unpark if not already and obviously minimise any task in the background to bare minimum.
Also SSD is really a must for this game, even PoE 1 ran pretty bad on HDD. If you need to stick with HDD make sure to defrag it after PoE 2 install and if you have any third part software for it make sure to prioritise PoE 2 on it to have it on the faster end of the platter (I know I could do that on win7 but that was years ago so I am not sure what you could use for this today).
Update Bios, update chipset and GPU drivers.
After that the game should run fine on low/med graphics details.