The bad performance in this game is a death by a thousand cuts and there is no magic bullet- even an i9-9900K/GTX 1080ti requires compromises and tuning. However I decided to chronicle my performance tuning in detail as I still needed all the fixes even for my beefy rig to load up on 4k textures and to mod further. So I finally capitulated and built me a new gaming rig. After I had given up everything(shadows,interior lights,particle effects,grass) to run a decent stable game, I realized I couldn't do any serious settlement building which was a big part of my enjoyment. I've invested a significant amount of time trying to bring FO4VR to the level of my heavily modded SkyrimVR visuals but I gave up and tried frantically to stabilize with acceptable graphics. When I first started playing Fallout 4 VR on my Alienware R4 17 with an external GTX 1080ti, the stuttering and blurriness was so atrocious, plays would give me severe eyestrain then headaches. But tweaking and modding can bring FO4VR to an 'acceptable' state of play. FO4VR is a CPU intensive game and sadly it was upgrading to an i9-9900K that made the biggest difference. TLDR - FO4VR still takes serious tuning to make it playable even in 2019 even for a beefy rig.