For me, rather unkindly.
I had the misfortune to be hit by a microsoft windows update, a Pimax update and SU6 all at once. The unholy trinity.
The result was a sim that crashed and froze within seconds of entering the cockpit and then entering VR mode.
After almost a full days worth of messing around, it is finally working, albeit with some bouts of horrible stuttering every minute or so.
Firstly, rolled back the windows update, no difference. Next reseated my GPU and RAM sticks, no difference. Next rolled back Pimax Play to 1.44.2, sim no longer crashed, but stuttered really badly, it really was on the brink.
Next deleted Pimax Play completely and did a clean install of PP2.02. Sim runs albeit with the bouts of horrible stuttering.
Half suspected Sim Racing Studio may be the culprit, specifically Motion Compensation. Disabled motion compensation. No change. Closed SRS completely; no change.
Read somewhere that having integrated graphics enabled can cause stuttering, so switched it off in BIOS. No change.
Still the stutters.
During a bout of stutters, I held my head completely still and looked around the cockpit with just my eyes, using the eye tracking. No stutters. Moved my head very slightly, probably less than one inch and the stutters immediately returned.
So it is something to do with head tracking between Pimax play and SU6, something is not happy.
Did a clean install of pimax 1.442 this time. Still have the bouts of stuttering. Updated and did another clean install of pimax 2.02 again. Stutters the same, once every one or two minutes for a few seconds, but only when looking around the cockpit.
Same result with the Blacksquare Turbine Duke, the stock C172 and the A2A Comanche. Its not the aircraft.
From what I can tell from the above, it has to be SU6 causing it.
EDIT. Should state that I cleared the rolling cache at the first moment I had problems.