They got rid of the dialogue wheel and went back to a list of options (influenced by character background / skills), so at least there's that, I suppose.
If you've got windows 10 try updating to 22h2 (no, really; a consequence of Bethesda being acquired by Microsoft, I suspect), and update your GPU drivers.
That got it running on my 980ti, so it should also work with the 1070.
“Didn't Denuvo come out after Fallout 4 launched?”
“No, it came out a bit more than a year earlier.”
And horse armour.
And all their attempts at turning modding into a walled garden they could control and profit from.
Best comparison I've heard (by Gopher, if I recall correctly) is Outer Worlds, but less silly, and bigger by several orders of magnitude.