Same problem here. Windows 11 & latest OBS version 27.2.4
Since that OBS version I have terrible screen tearings (preview/program/projector) - no matter what I configure: tested all framerates (capturing via Blackmagic Webpresenter 4K), vsync forcing and so on. Nothing fixed this issue.
Downgraded to OBS 25.08 and tearing was immediately gone. That's a quite dangerous workaround for streaming but what else could I do? Any ideas? Guess this is a special problem with OBS because ZOOM preview doesn't tear at all.