First off, don't force enhancements through Nvidia Control Center, as it doesn't play nice with Dolphin. Use the built-in menu in Dolphin.
You're probably hitting one of 3 issues:
1) Most likely, its a problem with the AR code. Not all of them work in Dolphin. Try disabling it and trying again.
2) Bring down the enhancements to 1x everything and see if it still tears. If so, don't raise the IR so high with max AA/AF
3) Check your md5 hash of the game against Google to make sure you don't have a bad rip.
Also try one of the latest dev builds (current is 4.0-828)
You're probably hitting one of 3 issues:
1) Most likely, its a problem with the AR code. Not all of them work in Dolphin. Try disabling it and trying again.
2) Bring down the enhancements to 1x everything and see if it still tears. If so, don't raise the IR so high with max AA/AF
3) Check your md5 hash of the game against Google to make sure you don't have a bad rip.
Also try one of the latest dev builds (current is 4.0-828)