Posted similar response in another topic. I have had issues on an rx5700.
Not sure about Nvidia, but try raising power limit to max, raise minimum clock rate to max. If that doesn't work you could try lowering those settings so your card uses less power, if like me you're running csgo on low settings it will be under utilised and will downclock. Causing stutters.
May be a placebo but I seem to run smoother with hpet and hdcp disabled.
Hdcp is linked to your monitor/hdmi, accessible via Radeon driver monitor settings (possibly in Nvidia settings) and hpet is accessible via device manager under 'system devices' heading.