Mario
I also encountered this memory leak issue in our project, and it's a serious problem. I tested it using UE4's performance analysis tool and found that even when doing nothing, Spine would have a memory leak of 0.2MB per second, which is similar to the memory leak from the physics module mentioned by the questioner.
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I have reviewed your rendering code and it seems obvious to me that the way to fix it is to avoid creating the Mesh every frame, as it's unnecessary. You only need to recreate the Mesh when it's updated; otherwise, you just need to Update it. I tried modifying the rendering logic of the SpineRenderer, and the memory leak disappeared.
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I wonder if you could consider making this change officially, as it's a very serious issue.