SekiroFpsUnlockAndMore
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Reduce tearing with VSYNC
This is not an issue, more of an advice for others that may be looking for a solution to the screen tearing problem like me. I play the game in 144hz and after following your instructions I was seeing a lot of screen tearing even though the game was running at the full 144hz.
I went to my NVIDIA Control Panel and re-enabled VSYNC to the Fast setting, like so:

Now the game runs at 120fps and there is no screen tearing and no noticeable input lag. Its the best of both worlds!