ROAMZERO'S PROFILE

author=Darken
it's mostly a DirectDraw problem having to do with how dated the RPG_RT.exe interacts with the graphics card API and well, the more updated windows is. Not exactly something Maniacs would address.

Maniacs Patched projects seem to gut/remove the directdraw support in RGP_RT.exe altogether and makes it just use GDI (compare the config windows between a patched project and vanilla, it's not present in Maniacs patched versions)
However I did discover a graphics driver setting that forced GDI to be smooth with my NVIDIA card:

(change it from AUTO to performance)
However, there are occasional stuttery frame drops for some reason at regular intervals (this seems to occur in every game even small demos), but at least it doesn't make your eyes tired.