I will tell you what I did personaly that made a difference
When I had to reinstall the game because of a modding Boo Boo I made. I installed the game then restarted my PC.
Then I added one patch at a time and after each patch restarted my PC.
For some reason maybe it was just the downloads but I found that the bulk patch for all 3 of them just wasn't right. So I did a patch at a time and the restarts seems to help between each one.
After I did this the game truly did seem to run better so maybe it will for you as well.
Make sure you have the latest drivers for your hardware although some of the video drivers have problems I have read in these posts from Nvidia.
I always run the game at the same resilution my desk top is set for and the monitor refresh rate. But lowering the resilution if it is still slow and adjusting the graffic's settings for the game till you find what works best for you.
Make sure your hard drive isn't over loaded and still has room on it for virtual memory.
Your video card has performance and quality settings in graffic's display so work with them as well to find a good ballance that works for both you and the game.
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