When the vsync is on in-game it gives stutters, especially with a lot of cumulus clouds. Without vsync I have 120+ fps with off course some tearing of the screen. Even with cumulus clouds at highest I don't get any stutter. So my pc has no problems with the game. It is the vsync.
The solution that I have found is to use a framerate capper (I use rivatunerstatisticsserver) in combination with vsyns. I played around with this for a while and found out that when I use vsync and set the cap for fps on 60 I get smooth game play without any stutter even on ultra with all the clouds in the sky possible.