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https://www.microsoft.com/en-us/download/details.aspx?id=35&url=/windows/directx/downloads/default.htm
Do I need to revert to a lower one for game to work?
if the game still does not work, run the falloutnvlauncher.exe from the steam game folder.
sometimes a missing library or your antivirus will popup a message.
check windows event viewer and also window reliability history. might be a game crash event or system related issues.
launcher should create folder
Documents\My Games\FalloutNV with files Fallout.ini FalloutPrefs.ini RendererInfo.txt
2010 game written for 2010 hardware. try monitor=60hz and fps=60 and resolution 1920x1080. maybe game wont start on your 4k 400hz fps unlimited monitor.
i tested it again with a fresh install, the steam version does not work at all without the gog game files.
Windows 11
RTX 3070ti
Ryzen 5900x