Hay brandtP, i may have a solution to your Doom3 tearing without useing Vsync. By now i'm sure you've noticed that the game runs the refresh at 60 HZ. Force it to run 85~100 by makeing a text doc in the doom3/base folder called "AutoExec.CFG" and add the line
" seta r_displayrefresh "85" ", or 100 depending on your resolution, my monitor supports 100@1024x768 and 85@1280x1024. I run the game at 1280 with 2xaa and get minimal tearing and 75 fps avg.
Asus A8V Deluxe(rev. 2.00) / A64 3000@2527(Mp9.5x, 266FSB, HT1000) / 1024mb OCZ DDR533 / BFG 6800GT@405/1100 / Baracuda 120GB / Lian-Li PC-65 / Syncmaster 700NF / Antech True 380