Stuttering, Small freezes and framerate Issues

[jdw5000]

I then loaded the profile and continued the game from the beginning and the stutters are back.

What do you mean by "continued the game from the beginning"?

I created a new profile to test the patch, when it worked I exited the game without saving. When I ran the game again I chose the same profile and loaded the first save which is the beginning of the game with cut scenes and game title.

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Windows 8 64-bit
i7 @ 2.2 Ghz 3.2 OC
GT 640m
6 gigs of RAM
Game Settings: High

Ok I started a new game using the default main_settings.cfg and the stutters were there, I also loaded a game and it stuttered. I changed main_settings.cfg back to MaxChannels="32" StreamBuffers="4" StreamBufferSize="131072" started a new game under a new profile and the game ran fine for the first few minutes.