Although many people game with 144hz monitors, they don't realise that to best use a monitor you must have higher fps than your display hz rate. So if you are gaming at 200fps average you'd be alright with a 144hz monitor. If your minimum fps sometimes drops below 144hz it could still be ok to use enhanced sync but you may need to set a lower frame rate target cap or use the in game settings to set a frame limit to 60 or 90 fps.
Try setting Vsync in your AMD gaming global settings to Enhanced sync then ensuring vsync is enabled in your game. If you have freesync enabled in your monitors settings and in your AMD software settings under display you can often disable vsync in a games profile in your AMD adrenaline settings for that game as freesync monitors have a hardware frame buffer built in basically eliminating the need for vsync and doing a better job of it than the software can.
Sometimes games that stutter possibly have a frame limit built into the game engine and the vsync or AMD software settings may be conflicting a little so try disable all frame limit settings if possible in AMD software and in game and consider even trying with vsync disabled.
Just set GPU scaling on and enable radeon image sharpening and try gaming in fps higher than the max display rate or capping the max fps/hz and test with vsync enabled or disabled. To save power you may also want to enable AMD chill as often in games where you stand around talking accepting quests or are standing still the FPS doesn't need to be very high so maybe set it to 70fps minimum then 144 max so when you move the mouse around it will ramp up to 144hz. In this way if your game was originally using 100% power and the fans were noisy and the card was very hot it will work less hard but your game input lag to the display can be reduced by up to 64% and you will get a possibly better gaming experience with less fan noise and limiting the FPS with chill instead of using frame limits/caps can be better in eliminating stuttering or other issues.
