One comment that I do have is that I was able to improve the performance greatly by switching to "Prefer maximum performance" in Nvidia Control Panel -> Manage 3d Settings -> Power Management Mode

Hey Geez, Thank you for the response. I've lowered the resolution to the lowest possible standards and cannot play at the monitors native resolution. I understand that the developers are very busy, but please look at the game in the wide resolution and try changing the resolution in game. Changing the resolution in Windowed mode does not respond to input. I'm fine with the current bandaid solution on my client, but if you can document this bug for future releases that would be appreciated.