The top priority is to Check for Overheating of your CPU or video card.
Turn Off the Vibration Setting as it introduces severe stutter.
Connect Your Monitor to the Video Card directly for the best possible FPS
Set Windows To Use Your Video Card instead of your CPU's integrated graphics adapter
Pause any Background Downloads as they may cause a performance bottleneck.
If playing a video or livestream in the background, turn off Hardware Acceleration in your browser.
Vertical Sync in Path of Exile's options menuIf you'd like specific suggestions, gather your System Information and Create a Thread in Technical Support.