That is a different thing (i've seen the issue in my own games), it is really about how even if the game updates at 60Hz, producing stable 60fps and shows on a 60Hz monitor with vertical synchronization (vsync) enabled you can occasionally have some "stuttering" (IIRC he calls them "heart beats" in the article the video is about).
The main reason is that your game time and the monitor's "time" are not really progressing in sync and even with vsync you are actually reacting on what the monitor did in the "past". This is why it isn't a problem on fixed platforms like the Amiga since you more or less know how fast the system is and can simply use vsync for game updates too (in other words make the game dependent on the framerate and just ensure the framerate is more or less constant, which is easy on fixed hardware but much harder on something like the PC).
FWIW this is still a problem, but at least a "hack" that has become a bit common since the video and article were published (and Croteam also did) is to "smooth out" the time progression by averaging the time deltas of the last few cycles. This doesn't fix the core problem but it makes the "heartbeat" less likely to happen and be noticeable at the cost of -mostly imperceptible- drift between game time and real time (that you can always reset if it becomes too large anyway).
The main reason is that your game time and the monitor's "time" are not really progressing in sync and even with vsync you are actually reacting on what the monitor did in the "past". This is why it isn't a problem on fixed platforms like the Amiga since you more or less know how fast the system is and can simply use vsync for game updates too (in other words make the game dependent on the framerate and just ensure the framerate is more or less constant, which is easy on fixed hardware but much harder on something like the PC).
FWIW this is still a problem, but at least a "hack" that has become a bit common since the video and article were published (and Croteam also did) is to "smooth out" the time progression by averaging the time deltas of the last few cycles. This doesn't fix the core problem but it makes the "heartbeat" less likely to happen and be noticeable at the cost of -mostly imperceptible- drift between game time and real time (that you can always reset if it becomes too large anyway).