The Englishman produced a flawless, bogey-free display, racking up eight birdies — highlighted by a stunning 36-foot putt on the 15th — at Hilton Head.
Fitzpatrick, the 2022 US Open champion, had started the day in a six-way tie for third after opening with a 65, but his latest round lifted him to 14 under par and into outright first place.
Norway's Viktor Hovland remains in close pursuit, just one shot back, after backing up his strong start with another 65 to hold onto second position.
Overnight leader Ludvig Aberg slipped down the standings to a share of fourth after stumbling with three bogeys on the back nine.
Scotland's Robert MacIntyre sits six shots adrift following a round of 68, while world number one Scottie Scheffler posted a 67 to leave himself seven off the lead heading into the weekend.