the framerate is the main issue graphically but the game is very slow ("walking simulator") and so it doesn't affect gameplay. i imagine if i had turned the settings down further (on my playthrough i switched most settings from ultra to high and disabled the VHS filter) or used FSR on ultra performance it could have been better, but i doubt it would have had the same Aesthetic so i just left it even when the framerate tanked from the ball pits. worked just fine otherwise