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Lastly I want to say don't be so quick to dismiss possible eye problems, or hacks that ""only"" cater to eyesight.. Make a few tests. Next time you play, maybe have an alarm for every 20 minutes where you take 20 seconds to look away from the screen and see if it helps. Maybe get some more light into your room when playing to help combat the brightness contrast. If you get the same result, then you at least eliminated potential causes of your problems, which will help you find your way to a true solution.
I used to think I was immune too, however looking at a bright screen and ignoring my eyestrain and headaches (from being a graphic designer) ended up actually causing some damage. So please don't ever fully dismiss it !!
It could just be the way this games graphics affects your brain, or too much blue light, but if you ever continue to get eye strain, headaches, trouble focusing, or ocassionally blurry vision, do please see an eye doctor for a test just in case !! Oh and remember to stay hydrated my mans.
You are not alone. It recently started getting head spins and weird feeling eyes too. If I play it too long it starts happening. No other game does it to me either. I recently came straight out and jumped into another Unity title, Empyrion 1.9.10 and it was so good to my eyes. 4k, 120 fps, all graphics options on.
I have suffered from problems with refresh rates and flicker in the past. I noticed that this game doesn't have much in the way of graphic settings, just simple settings. My guess is that it may have something to do with frame buffering, vsync and/or field of view tricking the brain. It could be a combination of factors.
As an experiment I dropped the frame rate from 120 to 60 and that help a bit. I also slowed the mouse sensitivity to 30 so I don't turn so quickly. It took much longer to manifest. I get about 1 to 2 hours into the game and I have shut it down.
Hopefully the devs are reading and check their settings, or add more capability in future releases. For the majority of very young people I would say it's not a problem, but I'm an IT worker and in front of screens all the time.
I'm sure the devs would be interested in fixing it if they knew exactly what the problem was. It's hard to narrow down vague things like this. Maybe the odd changes in brightness are part of it.
I've played with the FOV, screen shake and mouse sensitivity settings which are the usual culprits. I even started modding so I wouldn't feel the need to run everywhere I go. I suspect it's some kind of weird subtle thing the graphics are doing that my brain doesn't like though.
I suspect that the fundamental problem for anyone who experiences eye/headaches from the game graphics is quite similar. It's not related to age or the length of time spent playing, but can be explained physiologically.
In fact, many games already offer options to enable people with this limitation to play by providing color filters and desaturation.
Others that don't offer this option unfortunately fail the "health check" for me because even if your eyes don't sensitively react to it, it stresses the brain and provokes reactions that are more insidious.
I've searched all discussions for "saturation" and found surprisingly many threads about it, but unfortunately, there are few solutions that are worth considering.
reshade.me would be an option, but it requires technical know-how, and adjusting through the graphics card software is cumbersome and not an option for relaxed gaming.
One can only hope that the developers take the numerous complaints seriously and integrate a solution into the game options.
As much as I like the graphics style, overall saturation was killing me as well.
Only issue I had was the 2D icons for items can end up rather dull when turning down sat.