V-Sync can be a double edged sword sometimes, depends on the game actually. While it will eliminate the tearing effect it can also cause slight stuttering in frame rates. To reduce this slight stutter, you need to raise the refresh frequency of the monitor.
If using V-Sync, I'd say that a monitor refresh of 80+ is best.
Oh and yes, it does reduce the frame rates but if you imagine that if your refresh rate is 60Hz, this means your screen is refreshing at roughly 60 times a second. But if your FPS is 80, this means there are 20 frames every second that are either only partially drawn on the screen or aren't drawn at all.
I play all my games with V-Sync, it hardly seems worth not using it to be honest.
Have fun
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