Without tinkering, where I believe the game uses DirectX 11, there is severe stuttering and the game is unplayable - around 8 fps; it happens on certain maps and under some other specific conditions so you won't notice it immediately. I had to add the -dx12 option. It was necessary! I play on medium-high graphics settings and I scaled my rendering resolution to 50% because my monitor is 4K. Everything else works perfectly.

I use arch btw. And i3 window manager.