Thanks for the input! It's a stock cooler of which I re-applied some Zalman super grease thermal.
I was playing NBA 2k12 at highest settings and the framerate wasn't as good as it skipping a little. I wonder if it was the cpu temperature, but since the cpu has normal temperature, then it must be something else.
What video card are you using? I've never played that game is there a way to see what your FPS is and if so what is it? If its a cheap video card the fps could be dropping in spikes then going back to normal.