Your new settings are really close to mine now. I tried your first settings and agree these are visually better. I have a couple more comments.
In adrenaline, I do as you’re showing. I turn all the AMD stuff off except tesselation… like you. However regarding your voltage, my suggestion is to reduce it some. I did some testing of this and notice that if I lower the voltage then the GPU will reach a higher max frequency and it runs a little less hot. I agree that the GPU can go to 110C without issue so the temps are not a big concern but it does give a performance improvement as well. I currently have mine set to 1140. Going much lower does cause stability issues so don’t go too low.
Buildings, Trees, and Grass/Bushes impact my fps more than other settings. I have these on Medium. I get a few more fps and don’t notice a visual impact. Regarding the TLOD, I can run at higher values without a drop in fps. I’m at 175 now.
Have you ever noticed a white outline around water. When this is on I see a white outline where the water and land meet or where trees overhang water. So I turn this off and the white outline around water goes away.
FYI: I put Bijan Seasons back yesterday and didn’t have a performance drop. I’m still looking for which addon causes my fps drop but it’s not that.
Good luck.