I have already tried enabling VSync, Triple Buffering, enabling/disabling GPU Transcoding, enabling/disable anti-aliasing, increase the size of the cache, and verifying local content in Steam. I have the 285.38 nVidia drivers installed. I bought the game from Newegg, not Steam, so I can't get a refund.
Is there anything else I can try? Do I just have to hope they patch it? This is BS. No more Bethesda games for me after Brink and this.
EVGA SuperClocked 012-P3-1573-AR GeForce GTX 570 HD
MSI P67A-GD65 (B3)
8GB Corsair Vengeance
Intel Core i5 2500k
Corsair 750TX v2 power supply
Sound Blaster X-Fi Surround 5.1 Pro