My stationary PC is a modern AMD Zen 3 setup. It runs Windows 11 pro for workstations latest developer release, TPM and other settings completely enabled, no stuttering whatsoever.
I have a Windows 10, 5900X+X570 machine with fTPM enabled and I get zero stuttering. Still using a pre-release BIOS with early Zen 3 support from August 2020 since I never saw any need to update it.