Patch 1.03 is giving my Nvidia drivers a bad time, vista is reporting them recovered more and more, even threw in a new nasty bluescreen for me.
Gonna play around with it some more, running 190.38 drivers and Nvidia 3D vision 1.10. Didn't have any of these problems with 1.02. Other than that framerate is the same, 15-20 on high. Have error reports if requested.
EDIT: Fixed, the nvidia drivers that came with the 3D vision pack were the problem. Got the stand alone version installed now and everything works fine. I am also happy to report a 10 FPS increase on high, bringing the total to 25-35.