Just to weigh in on this. I also get some bad stutters in the Heathrow area in MSFS2020 (with Orbx London Landmarks also installed).
I originally had the Marketplace version, but transferred it to the iniManager version, and updated to the latest 3.1.1. It did improve things, but I still get 2 or 3 massive stutters in the area between the City of London down to runways 27L/R. The biggest one happens somewhere around The Shard area as I manoeuvre onto the localizer. Then I get a couple of smaller ones on the way down, especially one usually below 500ft.
I have an i9 13900K, 64GB RAM, NVMe hard drive, 4080 GPU and fibre internet.
I have tried turning all traffic off, and reducing scenery right down to low settings and turning photogrammetry off. It's pretty bad in the Fenix A320, but I've noticed it even happening in GA aircraft. I don't have such a problem at other busy airports like Gatwick or Stansted.
I could be wrong, but it seems like at certain distances, the LOD is changing and the sim is briefly having to load in a ton of stuff and causing my CPU main thread to max out. I am hoping that 2024 will reduce this, but I still think it might be a scenery optimisation issue.