I would turn down trees to medium or low and turn grass to off
Volumetric clouds to ultra.
Glasscockpit to low or medium if flying steam gauged aircraft
Object lod to 150
And set TAA Instead of dlss quality
Also i would set monitor 100% back to 50 to cap frames at 30
And in usercfg.opt file i set my secondary scaling to 0.700000
In that way you can up your taa to 110/115