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Yup! Green when healthy, yellow when injured, orange when badly injured, blinking red when near death. Didn't even notice until you asked, thanks for the reminder Hideo Kojima!
I'm playing on a 4090, i9-13th gen CPU, 32GB RAM, 1440p/144Hz monitor. All graphics settings are set to highest, ray tracing on, DLSS set to quality, borderless windowed mode at 1440p resolution.
In-game framerate options are 30, and 60, and uncapped (and V-Sync of course). If I cap the framerate at 60, it stays rock solid, with only the occasional dip when the game is loading in a whole big new area.
If I set the framerate to uncapped, it'll vary from 90-120 in general, very dependent on the location: big open areas with lots of fog and dynamic lighting are more like 70-90, in-door areas are generally 100-120.
To be honest, I'm only aware of this variance in framerates because I keep the Steam framerate counter active in the corner of my game while I play. The shifts throughout the 80-120fps range, when they do occur, are quite smooth. I haven't observed any issues with hitching or frame pacing, or recurring sources of stutter during general play.
(In-game cutscenes are rendered at 30fps, but that's by design and cannot be altered)
In summary: I'm 7 or 8 hours in, and I haven't yet experienced any persistent performance issues that have in any way interfered with my experience. But again, my rig is fairly high-end, so take all this with a grain of salt.
In terms of optimisation I have a RX Vega 56 and R5 3600 and I can get 60 FPS using FSR1 at its Quality preset with 1440p as a source resolution with the low settings preset which is better than what they advertised their minimum specs as.
DualSense is updated to latest firmware
1) download DSX. There is a paid version on steam, or an older one that is free but older.
2) Disable steam input.
3) in DSX app. Use native. Then make sure to turn off "send data to to device" or your controller will bug out when running game, as it is conflicting with native. Make sure adaptive trigger settings in DSX app are disabled or off. This is because you want to be using the native ones in game. You may not be able to do some of this without paid version.
4) make sure to enable sound to haptics emulation in app. Now all your sounds, the fighting, the weird sounds, footsteps, doors opening etc will all have haptic feedback vibrations.
Now you can enjoy more haptic feedback combined with native dualsense adaptive triggers.