Stuttering, Small freezes and framerate Issues

[jdw5000]

The sound stuttering might have to do with loading of save files. Preloaded sounds might not get loaded correctly after loading a save file.
Could some of you please check if the game stutters if you start a new game? Or if the stuttering only occurs after loading a save file?

I ran the patch and created a new game with a new profile. I experience no stuttering in the places it would stutter before. I only played the first couple of minutes though. I then loaded the profile and continued the game from the beginning and the stutters are back. It seems the patch works on new games and only once. One would have to play the entire game in one sitting I should also mention my main_settings.cfg settings are
MaxChannels="32" StreamBuffers="4" StreamBufferSize="131072"