I was getting a little bit of stuttering in combat even back in 0.4, my card only has 896mb of VRAM. If you haven't already, try setting the texture quality to Low. MWLL is a major VRAM hog, and Low textures almost uses all my VRAM. Anyway, that fixed the not-sound-related stuttering I was getting back in 0.4.x, and I haven't seen it in 0.5 either.