OBS Stuttering (Not lagging)

You have two WASAPI devices. Do you need both? If not, disable the appropriate under Options->Audio.
Proof if it/they better work with audio setting to 44100. Rethink to set the base resolution just to the value of the output: 1280x1080. What if to start with 1080p30 instead of 1080p60. Better than? Anything changed?

It would be helpful to know which settings you tried already.
 
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