*Patch up the game to latest version
*Set resolution to my native 1680x1050 res
*Turn off bloom
*Turn off vsync
*turn all sound settings to max if the sound is through EAX or OpenAL (sometimes by going to a config file and setting max audio channels to 128 )
*If the game is older, I'll probably max everything out, turn on vsync, and force antisotropic filter and antialiasing, if they're not available through the game's options
In general, I do a lot of experimentation to get the visual quality vs. performance right. If I can't get it to where I want it to be, then I just don't play the game.
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