Well I’m not unhappy with my current results. On a laptop that uses a Ryzen 7 4800HS, Nvidia 1660ti, 16gb, I get a pretty steady 36 FPS (max setting in Nvidia settings) with everything on Medium other than LOD and TOD (or whatever they are) set to 200 and clouds on High. This at native 4K game reduced 50%. I’m GPU bound and this has my GPU riding around 90% on average.
Good info about my choices here. Thanks 
PS: One thing for sure… clouds less than High look awful