KCD1 Performance Issue

With all the hype for the release of KCD2, I decided to buy the first game and play through it first. I have a 12700k and 4080, running the game borderless with "Very High" on all settings because it said "Ultra High" was experimental. I maxed out the LoD/Object/View distance sliders

The first cutscene played and then I got control of the guy, but as soon as I had to make the first dialogue choice, the game looked like it was running at 1fps but my overlay showed it was running at 138 (my cap in nvidia control panel). What is weird, is when I tab out, the game dropped down to 28 fps but the animations looked like they were playing perfectly as expected for 28fps. I tab back in and the game comes screeching to a halt again, but says its running at 138 fps.

I also heard my GPU absolutely ramping up its fan and screaming bloody murder, louder than I have ever heard it even compared to max settings Cyberpunk with 4k path tracing.

Is there some trick to PC settings in this game? I have tried googling things but have not really found anything useful or anything that describes the issue I am seeing. And to be clear, its not just the background animation, even moving my mouse over any of the options it basically does not even highlight the option, but when I clicked it, the audio kept playing like normal but the game was running at sub 1 fps for the graphics.

EDIT: Capped FPS to 60 and it seems to be running fine now, will try slowly bumping up the cap to see where it starts freaking out.

EDIT2: Well.... it worked for a while. Just got to the next town and after walking to the battlements the game started doing the same behavior even with capped 60 fps. It is very odd because if I tab out the game starts working completely smoothly but as soon as I make it the foreground window it almost completely freezes up.