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Then go to the pinned topic at the top of gta4's General Discussions to download the updated Xlive.
Run the game in windows vista Service Pack 2.
http://i63.tinypic.com/j66hky.png
Somthing else you can try is going into your nevida control panal and manage your 3D settings
Click the program settings tab and find GTA4 and slect a preferred processer.
Use your High-peformance NVIDIA Processor. Apply the settings.
Also make sure you have updated Drivers with GeForce Experience