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which just allows the game to use more than 2 gbs of ram but dxvk would translate direct x to vulkan which on more modern systems would fix alot
Also, I'm finding the fixes here for the mouse stuttering aren't working. I still get noticeable mouse jumps while playing after following the steps to the best of my ability using Nvidia Profile Inspector, though some of the options are different from your screenshots.
if you're still having any troubles i'd try swapping the screen buffers setting and if that doesn't work there are other people who have compiled max payne fixes guides such as fkortsagin max payne fix on github, his might work for you.
https://steamcommunity.com/sharedfiles/filedetails/?id=1633394421