The mouse controls feel a little sluggish. If I move my mouse just a tiny bit it doesnt even register. I tried autolock=flase and mouse sensitivity but that doesnt really change much.

Also is there a way to reduce the scroll speed?

This should also help you out :)

http://www.gog.com/forum/fantasy_general/map_scroll_speed_way_too_fast/post2

Thank you! Also I figured out that disabling Windows mouse acceleration fixes the mouse movement issues.

Nah its not "Solved" for me. I do not even see a button for acceleration im on Win 10

Maybe it didn't occurred to you that things might have changed since 2015?

I could help you but the tone of your post tells me you did not even use a search engine to try and figure out things on your own, so I'm not doing it...

I understand what you're saying, but I've Googled the shit out of it and this game unfortunately is unplayable still just because of the scrolling speed. In Windows 10 in 2019, it's not just about mouse acceleration. Maybe it's unfixable, but I would greatly appreciate any insight you have. I have mouse acceleration disabled, according to Win 10 mouse settings. Again, if you have any ideas on how I might fix this, I would appreciate it. It's one of my favorite games from when I was a young lad.

The OP was having two issues: lack of mouse responsiveness and scroll speed being too fast, which are unrelated.

Scroll speed is solved by the info provided in the post linked to above. It currently goes to the 404 page because the forum name changed from Fantasy General to Fantasy General series. This is the "updated" link:
https://www.gog.com/forum/fantasy_general_series/map_scroll_speed_way_too_fast/post2