I've seen each of these cause issues with our games, although odd that it affects this one and not others. In any case please unload these, or prevent them from running at boot time then reboot:
The try the game - any better? Or at leats different?
C:\Program Files (x86)\RivaTuner Statistics Server\RTSS.exe
C:\Program Files (x86)\RivaTuner Statistics Server\RTSSHooksLoader64.exe
C:\Program Files (x86)\RivaTuner Statistics Server\EncoderServer.exe
C:\Program Files (x86)\MSI Afterburner\MSIAfterburner.exe
C:\Windows\System32\NahimicService.exe
The try the game - any better? Or at leats different?