I have the same issue as sir-j
actually its unplayable, I will never install new update till it get fixed, maybe for you its the same, but after many years of playing you get used to everything and every single change will transform your skill to zero.
If you didnt get yet me or sir-j played with vsync off for years, it was possible by setting it up on nvidia drivers, and turning vsync on now makes no sense, every your " recommended configuration " with vsync enabled is automatically becomes not recommended configuration for us
Why there is buggy renders implented btw? When you turn them you cant run W:A anymore rofl and to back up setting you have to reinstall whole game or edit settings outside W:A
this reminds me pirate version of windows, where you can choose all possible resolutions, and when you choose the one your monitor not support you cant see anything and have to reinstall windows or edit settings on save mode on