New
#491
Fallout 3 runs flawless to me with HD textures, and i am using SLI which is a pain to get it right on Bethesda Games.
What i do:
-Install Fallout 3 Stutter Remover
-Install CF Explorer Suite, and make fallout use more than 2 GB.
-Force V-Sync and Triple Buffering in Nvidia Control Panel.
-Change some settings in the .ini to force 60 FPS with the help of TweakGuides.
-Run in Realtime Priority (Context Menu is the best way, IMO)
And finally, remember that fallout 3 is extremely moddable, if you have got a problem there might be a mod to fix it. So search Fallout 3 Nexus and go ahead and try new things. Example: HD Audio Overhaul .
EDIT: PM me if you want some cool mods.