Cubase 10 extreme real time peaks

HT isn’t the only issue, and different platforms experience it differently. It sounds like you have a bottleneck or issue elsewhere, such as background stuff like a/v, audio interface driver, etc. Should probably use the latencymon to get a better look at it. Have you analyzed your windows processes while this is going on? See anything funny outside Cubase? Any overclocking or nonstandard cpu, voltage, memory settings in BIOS?