Ghosting in VR after patch

I am experiencing extrem ghosting in VR when I have below 80-90ish fps.

I got an hp reverb g2. Running on openxr. Specs:

Ryzen 5800x3d Radeon 6800XT 64 DDR4 RAM @ 3200 mhz Game on ssd

When I use full resolution scale I get like 55-60fps on the ground in a instant action Caucasus mission. The game looks crisp and with turbo mode it is pretty smooth. But the ghosting is insane. Like I am doing a barrel roll and the the enemie plane just doubles.

When I turn down the scale to 50% and use CAS upscaling I get much more fps. Like 80+ but the game just looks much pixalated. The clouds get crazy steps affects.

Also tried to squeeze everything out of the GPU with OC. Kombi Strike also activ on my ryzen.

The graphic settings are mostly low or off besides textures and shadows on high. (No flat shadows)

(Have already read speed on heat vr guide in forum and watched some videos about vr settings. Might be outdated?)

Any advice?