Hi, found setup works for me 1070ti, asw rarely (argentina) :
Everything low or off, cloth on.
2x MSAA, Shader Detail set to Low, -trees dont see so strange , if you go 4x MSAA then trees strange.
Open SteamVR -> open settings -> go to Developer> unmark "Starts SteamVR when a VR application starts -> close SteamVR. It still launch SteamVR in start, but different way. steam vr use less graphic resources.
DR2 custom settings, changes only in monitor: documents>my game> dr2> hardwaresettings> open hardware_settings_co