Hello @DevilsKiss666
A corrupted mod is causing this, even though it appears as active/available for use, it is forcing the hardware and causing these stutters.
Solution:
make a backup of your mods, go back to the folder and delete them all
Verify Integrity of Game Files
Start the game Sigle Player and make graphic adjusments
When playing online make sure you are not using any other programs running in the background
Avoid playing games and downloading programs while playing
If you're using additional mods or DLCs, consider disabling them to see if performance improves.
Some mods, especially those that add high-resolution textures or complex models, can significantly impact performance
If these solutions still do not help, consider using the last profile saved in profiles(1.53.3.5s).bak