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If you are running a laptop, chances are you have some hybrid video hardware like Nvidia Optimus, and are having driver problems related to that. The vanilla Nvidia drivers may not be what you need, you might need a specific driver from the maker of your laptop.
First install this driver:
https://downloadcenter.intel.com/download/25484/Intel-Graphics-Driver-for-Windows-7-8-1-10-15-40-
Then do this:
http://www.ultrabookgaming.com/how-to-fix-fallout-4-crashing-with-intel-hd-and-iris-graphics/
Then enjoy FO4 at 15 FPS on low settings.