The single most effective way to eliminate stutters is to switch the game from DirectX 9 to the renderer using Steam Community : Download the latest DXVK release : Open the folder within the downloaded archive and copy into your main game directory ( .../Grand Theft Auto IV/GTAIV/
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Rockstar did not release detailed patch notes, but the update primarily modified the game's executable ( PlayGTAIV.exe ) and the Rockstar Games Launcher integration ( The single most effective way to eliminate stutters