Significantly lower FPS after patch

Since the new patch went live, my average fps dropped from 180-200 to 90-140, and I have no clue how to solve it. All the settings are as low as possible already and idk what else to do now

dxDiag:
https://pastebin.com/rKhjzGMR

CPU temps are usually around 60-70 and GPU temps are about 50-65

pls help