Elden Ring - PCGamingWiki
https://www.pcgamingwiki.com/wiki/Elden_Ring

> Fix frame rate drops and stuttering on NVIDIA cards
> To fix frame rate drops and stuttering, especially in the open world when exploring or in battle, try the following:
>
> Open NVIDIA Control Panel
> Under "Manage 3D Settings" and the "Global Settings" tab, change "Shader Cache Size" to "Unlimited"
> Tested to work on a system with the RTX 3070 and a 5600x.