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I also play on a 3440x1440 monitor and the resolution is natively supported.
While it is true that there are no FOV settings as of yet, thankfully the 3rd person nature of the game has personally kept me from having the kinds of physical discomfort that you're reporting.
That usually happens to me on non-optimized first person games
strange, i messed with it a bit, and i can get it set to 3440x1440, but only in fullscreen exclusive mode. its still causing a lot of eye strain for some reason, though.