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I tried following this guide. SAM was already enabled. Enabling AFMF and trying different frame rates did nothing. Using Chill just introduced tearing. What finally made gameplay smooth was enabling Super Resolution and setting the in game resolution to 1600 x 900, as the OP did. With Vertical Sync enabled in game, framerates stay at a constant 60 fps with no tearing, and the game runs buttery smooth except for slight hiccups during loading triggers, at times barely noticeable. Without VSync I get horrible tearing, but I'm able to push the framerate beyond 200 fps, so it may be possible for other systems to do this if you really wanted to. It could just be my old, crappy monitor. I'm fine with this since pushing framerates too high can lead to funkiness in many games anyway (it can mess with loading or mission triggers and the AI).
Anyway, thank you OP for the recommendation to use Super Res. Now I can piss my pants from all the spoopy gameplay.
Ryzen 5 7600X
32GB RAM
Radeon RX 6700 XT w/ 12 GB RAM
System and game installed on m.2 SATA drive
1080p 60Hz monitor
Despite exceeding the recommended specs, stock performance in Dead Space Remake is horrible. Constant stuttering and freezing, making it absolutely unplayable during loading triggers (ie practically every doorway) and hoard attacks. I tried so many optimizations and "fixes" but at best I only got it to be somewhat playable if I moved really slowly.