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others have had some success with setting the game to run using DX11 instead of DX12 (is a startup parameter, --use-d3d11)
Anti-crash makes the game crash. Follow the vivanewvegas guide, and ignore ANY AND ALL suggestions to install anything else.
New Vegas Anti Crash (NVAC) is deprecated and not recommended for a stable experience. It's been superseded by New Vegas Tick Fix (NVTF), Yukichigai's Unofficial Patch (YUP), and lStewieAI's Engine Fixes and Tweaks. Similarly, avoid Project Nevada and obtain equivalent modules a la carte, e.g. JAM (Just Assorted Mods).