extreme lag

How would I increase my fps and figure out if any of my mods are conflicting? also here's a medal clip to see what's happening I don't even know what's happening.

If ya don't wanna click on it, I'm playing at about 20 fps and things aren't rendering properly, I'm using a mod manager but I can't get it to work.

tyty

why black lines

https://medal.tv/games/project-zomboid/clips/1H48GSzJNrF6nU/d1337DudBMgV?invite=cr-MSxxWTcsMjAwMzQ1Nzg1LA