I can't speak to the RAMDISK suggestion but I was also having performance issues on my fairly beefy system (stuttering/hitching and abysmal loading times). I had EQ installed on a separate SATA drive (with all my other games) from my W10 install which is on an SSD. After trying many suggestions I moved my EQ directory to my SSD drive and my performance issues disappeared. I also had to turn my FPS way down because at 2k resolution I couldn't even turn.
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Ballhaus - 35 Halfling Druid | Thees - 57 Iksar Monk | Siddartha - 51 DE Enchanter
Fizziz - 35 Gnome Mage | Sixxes 27 Iksar Necro
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