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(+1)

Of course yes that does it thanks, I don't know why totally forgot graphical settings existed :facepalm:
Lowering graphics quality does it, when testing at the most busy (M46/73 cross) putting it at minimum the game is still slowed, but it's now quite playable, and a bit better with both settings to the minimum.

No worries mate.

For my own reference, were there any other spots in the game which had a framerate dive like that? or was it just Act IV? (from your initial post it seems like the rest of the game is performing pretty decently)

(+1)

Only Act IV, the rest of the game handled really well. There's maybe a small drop when the Missirt starts doing flips or getting stuck in geometry, but it's hard to tell with said flips and physics going in all directions.