Bloodborne stuttering with these specs?

https://reddit.com/link/1tpzrlt/video/4yi946oxvu3h1/player

This is in reference to the post I made yesterday about bloodborne lagging and stuttering on these specs of mine :

Ryzen 5 5600x
RX 6600 8GB
16gb RAM

I'm playing on 1080p 60fps, ShadPS4 v0.15.1 WIP

Its weird because sometimes i get 45-60 fps but the other times it drops to near 30 fps in familiar areas.

This is all after :

Vertex explosion fix
No cloth physics
FXAA disabled
Boczekek's FPS boost lite
All optimal patches + settings

Also, I play using BBLauncher, ShadPS4 is a CLI application which I installed through BBLauncher.