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I set the program, as well as the whole folder, to run on my dedicated graphics card from the nvidia control panel, but it is still running on integrated graphics. I'm kind of stuck.
Last time I had a game stuck on my integrated card, I found it was due to launching it in admin mode. NVidia's display switcher was unable to act on it until I switched it back to using my regular user credentials again.
Oddly, both the main game and Karamari Hospital ran fine for me.
I also launched the original game and Karamari Hospital again to check and found out their frame rates are awful. This never happened before so I assumed they would be fine now. :/
But I found out what my issue is. It's Steam itself. If I run the game using the executables instead, it runs perfectly fine. But if I launch it through Steam, it runs terribly. It's so weird.
I also tried out the HD Renovation version of the game and didn't run into a single performance problem with no changes to my graphics settings.
I'm having this same issue quite sometime for now. Sheena was talking about this poorly working engine to me. I don't know what causes this issue, but I have a 8 GB RAM system with i5 processor and a 1GB VGA. HD Renovation version runs effortlessly. I don't know what might be the exact problem with the original game's Doll House.