As the support page suggested, i'm running Steam and Fallout 4 as administrator, have the beta option selected, highlighting windowed borderless options whenever i can.
Having the admin compatibility settings turned off means i get the same blank crashing/not loading screen as everyone else. Having them turned on means i am stuck in a loop of
Open Launcher
Click Play
"Do you want to allow the following program..."
Yes
Preparing Fallout 4
Opens Launcher.
This is on Windows 7 Pro 64x