ok here are the settings that differ between yours and mine @lynhoffenmeyer
nvidia control panel
antialiasing - gamma correction off
low latency mode - on
opengl redering gpu - select your gpu
power management - prefer maximum performance
texture filtering - anisotropic sample optimization - off
texture filtering - quality
vertical sync - use the 3d application setting
openxr dev tools
custom render scale disabled (I would likely keep it at 1:1 and try reducing the render scale in msfs)
motion reprojection - automatic
game mode - off
hardware accelerated gpu scheduling - off
variable refresh rate - on
There are some vr settings that will definitely hurt performance that I’ve turned off like ambient occlusion, reflections, contact shadows, and some texture filtering. To me it didn’t make or break the visuals but helped eliminate stutter.
Not sure if it matters, but I have 128gb set for rolling cache. I was testing airports in new regions so I can’t say that it helped reduce stuttering by having data pre-cached, but I’d bet it would help in the future.
See if matching some of these settings helps.
Using nvidia 460.79 with a tuf 3080
Also, I’m using ryzen with auto oc and pbo to help get the most of my cpu as most of us are cpu limited by the nature of the game engine.