Getting regular lag spikes after making actions, eg Astarion shoots something, and nothing happens for several seconds before the game decides to action it. Simarly enemy actions incur lag spike where you can almost see the game thinking about what to do! Just recently have taken an action and literally nothing happened, no die roll, no damage, no miss just nothing. You see the attack message in the combat log, but nothing follows.
Graphical issues, cloud effects just non-existent, this has been happening before latest patch\hotfix. The lagspikes are most intrusive to game flow.