The game seems to use a double buffer, which is to say if your framerate drops even a little below 60 it cuts clear down to 30fps. So if you're hovering right around the refresh rate you get this awful erratic effect where it jumps back and forth.
Because this game suffers from the cancer that is UWP format I can't just force triple buffering in the Nvidia control panel. You guys have to fix this, I don't know how or why it was ever set up this way.