I'm pissed that the patch broke the dll fix because the game was running perfect for me with it at 1920x1200 ultra high settings.
Now with this new patch the game runs perfect still but some area's of the game have that micro stutter when you pan/turn the camera.
/me slaps the dog pooh out of bethesda and obsidian with a wet carp

edit:
system spec's
i7 920 @ 3.8ghz
12gb ram
gtx 285

Ive been using d3d9.dll before and after the patch, and have not noticed a difference. But I didn't even notice a difference with the d3d9.dll in the first place. =/ what evs lol.

Running E8400 (3.00ghz), 4gb RAM, and Geforce 8800x2 in SLi

I get about 50-60 FPS on high