Game loads up in 640x480 and when I set it to high settings and 1024x768 (and any settings including the defaulted VGA) the game menus load and the hud loads (compass, health bars, character creation menu) but the ingame graphics don't, it's just a dark greenish screen. So I can't even accurately create a character. Everything but the graphics loads (there's even a crosshair) but it's just this black/green screen, and when I hit ESC to go to options the background becomes purely white.
DxDiag after the break but I've got the digital GOTY english deluxe thingy version that I just bought off Steam (Quakecon sale), I previously had the game on PS3 and figured at about £7 it was an offer I couldn't pass up on PC.
edit: 64bit Windows Vista Ultimate with latest service pack.
editx2: http://nextlevelcast.com/DxDiag.txt
upped it to my site^ too many characters to post without breaking it up in to millions of chunks.