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I *had*, however, installed them to a non-primary hard-drive, along with Steam and all of my other games, and in the meanwhile I had formatted my primary (C:) drive. So any C++ redists and similar components were likely lacking.
It turned out that a Direct X 9 component was missing, so I merely Googled 'Direct X' and the first result was the Direct X redistributable utility on Microsoft's site. Run that and it will install Direct X (You probably already have it), but more importantly, it repairs missing components, such as the one Fallout 3 & New Vegas depended on. It once more runs flawlessly for me; I hope this helps you.
I have had issues with my GTX980Ti and older games, ARMA3 looked like garbage on my GPU until after month or so NVidia driver update fixed that.
Steam and new Vegas re-installs do not help. Although verify integrity on FANV keeps even after total reinstall saying that one file is corrupt.
I dobt issue is directX. Most likely the culprint is GPU drivers.
Messing with the ini file did not help AT all. Nor did compatibility modes.
If you have a problem where the game doesn't respond at all after hitting Play in the launcher after Win10 upgrade, then check the NTFS permissions on Documents\My Games\falloutnv and set full control for your new user.
If you have some other problem, then elaborate where does the game crash. It can happen at a few points and all have different solutions.