Yes a little more info would be nice, like what gpu and do you have win11 and do you run etlegacy?
But first looking at your cfg, I would change the following to match your laptop:
r_primitives 1=amd, 2=nvidia
com_maxfps to match refresh rate
r_displayrefresh what is max you can use
r_fullscreen you might want to play fullscreen
and to that the max resolution settings
I see also you have quite everything on, like shadows, skybox...can cause fps drops too