Just because your computer can run unrelated other games doesn't mean anything at all for this one.

Please go to the top of your Steam library window, click HELP and then SYSTEM INFORMATION and post the entire list here.

If you've actually used sdack's guide you would probably find numerous sections which would apply here. But without knowing what your computer is actually made of and what it's running for drivers... can't know unless you say.

If its an OMEN from the last couple years, then yes, you system is probably more then capable:

But Fallout 4 is a grumpy old beast. Couple things off the hop:
Make sure the game is using the right video card. Fallout 4 is old skool. it don't recognise no RTX 3000.. or 4000 or heck even RTX 2000 series cards! You have to tell it to use it.

couple of audio things to try
https://gtm.steamproxy.vip/sharedfiles/filedetails/?id=3241230342

Apologies on the unrelated games, I was just trying to give examples on what I've been able to run since I've had the laptop. Here's everything that show up in the information:
Computer Information:
Manufacturer: HP
Model: OMEN Laptop 15-ek1xxx
Form Factor: Laptop
Touch Input Detected
Processor Information:
CPU Vendor: GenuineIntel
CPU Brand: Intel(R) Core(TM) i7-10750H CPU @ 2.60GHz
CPU Family: 0x6
CPU Model: 0xa5
CPU Stepping: 0x2
CPU Type: 0x0
Speed: 2592 MHz
12 logical processors
6 physical processors
Hyper-threading: Supported
FCMOV: Supported
SSE2: Supported
SSE3: Supported
SSSE3: Supported
SSE4a: Unsupported
SSE41: Supported
SSE42: Supported
AES: Supported
AVX: Supported
AVX2: Supported
AVX512F: Unsupported
AVX512PF: Unsupported
AVX512ER: Unsupported
AVX512CD: Unsupported
AVX512VNNI: Unsupported
SHA: Unsupported
CMPXCHG16B: Supported
LAHF/SAHF: Supported
PrefetchW: Unsupported
BMI1: Supported
BMI2: Supported
F16C: Supported
FMA: Supported
Operating System Version:
Windows 11 (64 bit)
NTFS: Supported
Crypto Provider Codes: Supported 311 0x0 0x0 0x0
Client Information:
Version: 1733265492
Browser GPU Acceleration Status: Enabled
Browser Canvas: Enabled
Browser Canvas out-of-process rasterization: Enabled
Browser Direct Rendering Display Compositor: Disabled
Browser Compositing: Enabled
Browser Multiple Raster Threads: Enabled
Browser OpenGL: Enabled
Browser Rasterization: Enabled
Browser Raw Draw: Disabled
Browser Skia Graphite: Disabled
Browser Video Decode: Enabled
Browser Video Encode: Enabled
Browser Vulkan: Disabled
Browser WebGL: Enabled
Browser WebGL2: Enabled
Browser WebGPU: Enabled
Browser WebNN: Disabled
Video Card:
Driver: NVIDIA GeForce RTX 3070 Laptop GPU
DirectX Driver Name: nvldumd.dll
Driver Version: 32.0.15.6636
DirectX Driver Version: 32.0.15.6636
Driver Date: 12 3 2024
Desktop Color Depth: 32 bits per pixel
Monitor Refresh Rate: 300 Hz
DirectX Card: NVIDIA GeForce RTX 3070 Laptop GPU
VendorID: 0x10de
DeviceID: 0x24dd
Revision: 0xa1
Number of Monitors: 1
Number of Logical Video Cards: 1
No SLI or Crossfire Detected
Primary Display Resolution: 1920 x 1080
Desktop Resolution: 1920 x 1080
Primary Display Size: 13.54" x 7.60" (15.51" diag), 34.4cm x 19.3cm (39.4cm diag)
Primary Bus: PCI Express 16x
Primary VRAM: 8191 MB
Supported MSAA Modes: 2x 4x 8x
Sound card:
Audio device: Speaker (Realtek(R) Audio)
Memory:
RAM: 16151 Mb
VR Hardware:
VR Headset: None detected
Miscellaneous:
UI Language: English
Media Type: Undetermined
Total Hard Disk Space Available: 487007 MB
Largest Free Hard Disk Block: 102235 MB
OS Install Date: Dec 16 2024
Game Controller: None detected
MAC Address hash: 107274669ef755130a78a47c07ef771b765e1986
Storage:
Disk serial number hash: 83c97cfb
Number of SSDs: 1
SSD sizes: 512G
Number of HDDs: 0
Number of removable drives: 0

I am getting ready to leave for work and will be unable to try any fixes until later tonight or tomorrow.

Originally posted by B-o-B:

couple of audio things to try
https://gtm.steamproxy.vip/sharedfiles/filedetails/?id=3241230342

Yeah I just gave this a shot and had no change

Has that computer specifically EVER been able to run this game?

It's a laptop so is it running on PERFORMANCE or ECONOMY power? Always have laptops plugged in and on full power consumption so that the video card can be used.

The CPU is on the slower side so that may also play into it, as this game isn't JUST all about the video card. Your video card needs weapon debris turned off, but if the game itself isn't even coming up that's DEFINITELY covered in sdack's extensive list of things to try.

Honestly, I'm not all that sure as i got it second hand from my Fiancee sine she barely used it. whenever I'm using it, its always plugged in and always on performance . Weapon Debris has actually been off since the beginning.

https://youtu.be/oUhzCkTQDLs

Originally posted by SirRedbeard:

Monitor Refresh Rate: 300 Hz

This is why, all the symptoms are there. Cap FO4 to 60 fps or so from Nvidia control panel.

ran the directxwebset exe from microsoft? visual c+ stuff?

Originally posted by Menace to Sobriety:

https://youtu.be/oUhzCkTQDLs

Originally posted by SirRedbeard:

Monitor Refresh Rate: 300 Hz

This is why, all the symptoms are there. Cap FO4 to 60 fps or so from Nvidia control panel.

OK not sure what i did different this time but i finally got it working just be changing the present interval. Thanks everyone for your help.