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If you have any mods, hacks or special dlls installed try uninstalling them.
Run a verify of your game files in the Steam client (Fallout 4 -> Properties -> Local Files -> Verify Integrity ...)
Do this. Gives a big clue into what Steam is seeing as the system package, versus what you know is there.
Sounds like finding the redistributable folder in the game's base folder and re-installing the VC++ and directx packages may help.
Computer Information:
Manufacturer: Gigabyte Technology Co., Ltd.
Model: H81M-D3V
Form Factor: Desktop
No Touch Input Detected
Processor Information:
CPU Vendor: GenuineIntel
CPU Brand: Intel(R) Core(TM) i5-4570 CPU @ 3.20GHz
CPU Family: 0x6
CPU Model: 0x3c
CPU Stepping: 0x3
CPU Type: 0x0
Speed: 3192 Mhz
4 logical processors
4 physical processors
HyperThreading: Unsupported
FCMOV: Supported
SSE2: Supported
SSE3: Supported
SSSE3: Supported
SSE4a: Unsupported
SSE41: Supported
SSE42: Supported
AES: Supported
AVX: Supported
CMPXCHG16B: Supported
LAHF/SAHF: Supported
PrefetchW: Supported
Network Information:
Network Speed:
Operating System Version:
Windows 7 (64 bit)
NTFS: Supported
Crypto Provider Codes: Supported 311 0x0 0x0 0x0
Video Card:
Driver: NVIDIA GeForce GTX 1060 6GB
DirectX Driver Name: nvd3dum.dll
Driver Version: 21.21.13.7866
DirectX Driver Version: 21.21.13.7866
Driver Date: 9 Feb 2017
OpenGL Version: 4.5
Desktop Color Depth: 32 bits per pixel
Monitor Refresh Rate: 59 Hz
DirectX Card: NVIDIA GeForce GTX 1060 6GB
VendorID: 0x10de
DeviceID: 0x1c03
Revision: 0xa1
Number of Monitors: 1
Number of Logical Video Cards: 1
No SLI or Crossfire Detected
Primary Display Resolution: 1680 x 1050
Desktop Resolution: 1680 x 1050
Primary Display Size: 23.35" x 14.57" (27.48" diag)
59.3cm x 37.0cm (69.8cm diag)
Primary Bus: PCI Express 16x
Primary VRAM: 6143 MB
Supported MSAA Modes: 2x 4x 8x
Sound card:
Audio device: 스피커(Realtek High Definition Aud
Memory:
RAM: 12164 Mb
Miscellaneous:
UI Language: English
Microphone: Not set
Steam Controller Cable and Base: Not set
Media Type: DVD
Total Hard Disk Space Available: 591401 Mb
Largest Free Hard Disk Block: 146657 Mb
OS Install Date: 1 01 1970
Game Controller: None detected
VR Headset: None detected
I have an A8 5600k and get 80-95% usage