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Poor AMD performance with DOOM.

My Doom seems to be broken.

290x, 4690K, 16gb ram.

When I first played it for an hour it was struggling on Ultra, but was playable. Every time I try to play it now, it's stuttering like mad, hitching for like 2/3 seconds at a time. I tried Vulkan, but with that selected, the game wouldn't even load, and I had to delete/re-install it.

Then, after re-installing it, it played fine again for the first session, until I quit, and the obscene hitching came back.

Any suggestions?

I have updated drivers etc.
 
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