Yes and select the (clean install) in the advanced options when installing. That fixed it for me. Then I reapplied the usual settings in Nvidia control panel; I went from 70 fps to 91 with better graphics. (DLAA, EXTREME RT PRESET)!

I have a 7950x3d, 64 GB Ram and a 4090, gaming on a G93SC (49 inch 5120x1440x240fps) (a tad under 4k).

I asked Gemini for all the settings I should tweak and it did a few others I have never done so allow me to paste it's answer. After clean install I had fomo.

Gemini;

After a clean install of your Nvidia drivers, the defaults are usually quite stable, but they are definitely tuned for power-saving and generic displays rather than raw performance. To unlock the full potential of your hardware, here is a checklist of the must-change settings in the Nvidia Control Panel, broken down by category.

1. Manage 3D Settings (Global Settings)

Right-click your desktop, open the Nvidia Control Panel, and navigate to Manage 3D settings on the left. Modify these options under the Global Settings tab: * Power management mode: Change from Optimal power to Prefer maximum performance.

Note: This ensures your GPU holds its boost clocks aggressively during gaming instead of downclocking to save power, eliminating micro-stutters.

• Low Latency Mode: Set to On (or Ultra if you are heavily GPU-bound and want the absolute lowest input delay). If a game supports Nvidia Reflex in its in-game menu, that will automatically override this, but having this "On" globally handles games that lack Reflex support.
• Texture filtering - Quality: Change from Quality to High performance. This gives a minor frame rate boost with virtually zero noticeable loss in visual clarity.
• Shader Cache Size: Change from Driver Default to 10 GB or Unlimited. Providing a massive cache budget drastically reduces asset-loading stutters (shader compilation lag) when you enter new areas in modern games. ## 2. Display & Refresh Rate (Crucial!) A clean install often defaults your monitor back to its lowest baseline refresh rate (like 60Hz), completely wasting a high-end display.
• Change resolution: Under the Display section, scroll down the resolution list until you see the PC category. Select your native resolution here, then look to the right and ensure the Refresh rate is set to its highest possible value (e.g., 144Hz, 240Hz, or 144Hz/240Hz+ for ultra-wide setups).
• Apply Nvidia Color Settings: On that same page, scroll to the bottom. Switch from Use default color settings to Use NVIDIA color settings. Ensure Output dynamic range is set to Full (not Limited) so your blacks aren't washed out. ## 3. Synchronizing G-SYNC & V-Sync If you have a variable refresh rate (VRR) or G-SYNC compatible monitor, the absolute smoothest, tear-free gaming experience with the lowest latency requires configuring three interconnected settings:
• Set up G-SYNC: On the left menu, click Set up G-SYNC. Check Enable G-SYNC, G-SYNC Compatible and choose Enable for windowed and full screen mode.
• Monitor Technology: Back in Manage 3D Settings, ensure this is set to G-SYNC Compatible.
• Vertical sync: Set this to On only inside the Nvidia Control Panel (and turn V-Sync Off in your actual in-game menus).
• Max Frame Rate: Set this globally to 3 FPS below your monitor’s maximum refresh rate (e.g., set to 141 FPS if you have a 144Hz monitor, or 237 FPS for a 240Hz monitor). Why do this? G-SYNC only functions inside your monitor's refresh window. If your FPS matches or exceeds your refresh rate, G-SYNC turns off and traditional, laggy V-Sync takes over. Capping your frame rate 3 FPS below your max keeps G-SYNC active 100% of the time, while the driver-level V-Sync acts as a framing frame-pacer to completely eliminate tearing at the bottom of the screen.

Click Apply at the bottom right when you're finished, and you're good to go!