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InfluxDB
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Using the MetaHook program to force the engine to use OpenAL for sound (apologies if my terminology isn't exactly correct, I don't know the very specifics, but I get the general gist of what is going on).
If you're someone who likes playing with the BunnymodXT mod, you can still use it by creating a batch file to launch the Injector.exe with a different target process: ".\Injector.exe -processname MetaHook.exe": I've tested and it works fine and pretty much all my stuttering and lag-spiking was fixed and now the game plays smoothly!
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