Insane ping spike into crash

Opening maps causes huge lag spikes that will either persist through the area or outright crash the game.

GPU: RX580 8gb
CPU: Ryzen 5 3600x
RAM: 24gb DDR4

Render: DX12
Multithreading On
Dynamic Resolution On
VSync Adaptive
Tripple Buffering off

I had this problem as well after the last patch and a nasty loading screen crash. Deleting all files in the ShaderCacheD3D12 folder resolved my issue.

C:\Users\XXXX\AppData\Roaming\Path of Exile 2\ShaderCacheD3D12