Try systematically disabling external monitoring or adaptive lighting software if you’ve got any in use. More than one of these can result in stutters, ranging from almost imperceptible micro-stutters up to things far more intrusive.
It’s also worth mentioning that if you have the new NVidia App you should disable the Game Filters if you have the overlay enabled. This is known to hurt performance and could induce stutters if it’s enabled before acceleration is started - even if you aren’t actually using a filter. The latest hotfix drivers disable it by default. If you absolutely need to have a filter enabled, you need to turn them back on after launching the game to keep performance.
Software to check from my own experience (hardly exhaustive):
Having GPU power percentage monitoring enabled on NVidia cards will cause micro-stutters. Doesn’t matter if you’re actively viewing the stat, so long as your software is polling for it. MSI Afterburner, for example, defaults to polling this. Power in wattage doesn’t seem to cause the same effect and can be left alone. If you can’t specifically disable this setting in your software, close it entirely.
I also found more extreme but reliable stutters from the software that handles the little OLED screen on my graphics card (an AORUS Master) - particularly in VR titles. A noticeable pause every few seconds. This is controlled by the Gigabyte AORUS LCD service. Stopping the service will prevent live updates of the screen (not animations), but also stops the stuttering.