At this point I have managed to get the game running as good as I think I am going to get it to run for my setup. It is performing well enough for me to play it and not curse the experience with little in the way of extensive tweaks and manipulation of the universe to get it to work.

After whatever most recent patch happened it seems that the shadows are looking awful and the launch options I had set to tweak the shadows is not working anymore. The shadows, particularly cast by and on characters are really blocky and pixelated looking.

I have minimal config settings really only to set the texture detail.

My system at a glance:
Crosshair IV Forula Mobo
Athlon Phenom II X4 965 quad core @3.6ghz
8 Gigs Kingston Hyper X RAM 1600 @7-8-7-20
Corsair Force GT 120 GB SSD
Sapphire 5970
3x Acer 24" monitors @ 6048x1080 - Eyefinity

Launch options I use: +com_skipIntroVideo 1 +cvaradd g_fov 30 +cvaradd hands_fovscale 1 +vt_maxPPF 32
Rage config settings: seta vt_pageimagesizeuniquediffuseonly2 "8192"
seta vt_pageimagesizeuniquediffuseonly "8192"
seta vt_pageimagesizeunique "8192"
seta vt_pageimagesizevmtr "8192"

To tweak the shadows I was using launch options: +r_shadowrendertotexture 1 +cvaradd r_dimShadowResolution 1280 +cvaradd r_dimShadowForceHighQuality 1
but they don't seem to be working now.

Can anyone recommend config settings or tweaks that will work currently to make the shadows look smooth/in high detail?

Gah! I wish there was a way to edit the topic title so I could make the title into a question and not a statement. Sorry for misleading anyone.

http://donotargue.com/cfg-makers/rage/