CTD on initial load - new issue

I too have been plaqued with ntdll crashes on startup. No error message, sim just vanishes to desktop and Event Viewer displays the following:

I need to run the sim at least twice to get it to start. Only change recently was updating to 22H2. Using Windows 11 Pro, SU11 (non beta). Hardware includes 3080ti and i9 9900K. No overclocks on GPU