Thanks for the info. So you have a Nvidia GTX 1650 MaxQ, right?
So far I have not experienced this issue any longer since driver version 515.57.
But I do not have any screen supporting >60Hz refresh rate.
Does it help to reduce the refresh rate to 60Hz?
In addition, are you experiencing diagonal tearing as well when running at 4k 60Hz on an external monitor?
Since the X1 Extreme Gen2 is also running a Turing TU117 chip, as the quadro T2000, but to T2000 is more performant, it would be interesting to see, since user generix suggested to set it to maximum performance mode.