This one seems to be the real solution only. https://steamcommunity.com/app/331160/discussions/0/1679189548066508837/ As well as enabling Anti-aliasing > 4x https://steamcommunity.com/app/331160/discussions/0/1291817837638904361/#c1696048426811613584
A lot of People stated just running Nvidia didn't help.
For me, just enabling Anti-aliasing 4x did the trick. Running AMD RX Vega 64 with W10, integrated graphics deactivated. Running off Original DVD.