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Welcome to Steam where trolls post comments that don't help at all!
So if you're having issues with Mafia II crashing at startup try to turn off the Steam in-game community for example.
Other programs with overlay functions which may cause issues:
Gigabyte OC Guru
Fraps
Mumble
Xfire
Hope this will help people solve their crash issues.
If your running a modern Nvidia video card and Windows 7 or 8.1, go into control panel, programs, progam and features, right click Nvidia PhysX, choose repair. Solved the issue for me.
If your running a modern Nvidia video card and Windows 7 or 8.1, go into control panel, programs, progam and features, right click Nvidia PhysX, choose repair. Solved the issue for me.