CTD after update?

It used to run flawlessly for me. Then about a month ago after not playing for a month or more, when I tried to launch the game, it crashes during launch. I’ve tried resetting game, I have no other programs running, I have no extra peripherals connected, I’ve ended nearly all processes except what’s needed to run the game, I’ve uninstalled/reinstalled the Store, Xbox app, and finally the Sim, all with no luck.
12900k + 4090 so the system capability isn’t the issue, especially since it worked previously.