If it helps at all, here's the settings from my Fallout4Prefs.ini file:
[Display]
flocalShadowMapHalveEveryXUnit=750.0000
focusShadowMapDoubleEveryXUnit=450.0000
fShadowBiasScale=1.0000
fDirShadowDistance=3000.0000
fShadowDistance=3000.0000
uiOrthoShadowFilter=1
uiShadowFilter=1
iShadowMapResolution=8
uPipboyTargetHeight=700
uPipboyTargetWidth=876
iVolumetricLightingQuality=0
bVolumetricLightingEnable=0
bSAOEnable=1
iDirShadowSplits=2
bVolumetricLightingForceCasters=0
iTiledLightingMinLights=40
bComputeShaderDeferredTiledLighting=1
iMaxFocusShadowsDialogue=4
iMaxFocusShadows=1
bForceIgnoreSmoothness=0
fBlendSplitDirShadow=0.0000
bSinglePassDirShadow=1
bEnableWetnessMaterials=0
fTessFactorMaxDistanceScale=100.0000
sAntiAliasing=FXAA
fLeafAnimDampenDistEnd=4600.0000
fLeafAnimDampenDistStart=3600.0000
fMeshLODFadePercentDefault=1.2000
fMeshLODFadeBoundDefault=256.0000
fMeshLODFadeScalar=1.0000
fMeshLODLevel2FadeTreeDistance=2048.0000
fMeshLODLevel1FadeTreeDistance=2844.0000
fInteriorMeshLODLevel2FadeDist=1950.0000
fInteriorMeshLODLevel1FadeDist=2600.0000
fMeshLODLevel2FadeDist=1600.0000
fMeshLODLevel1FadeDist=4000.0000
iMaxAnisotropy=1
iPresentInterval=1
bTopMostWindow=0
bMaximizeWindow=0
bBorderless=1
bFull Screen=1
iSize H=600
iSize W=800
bAllowShadowcasterNPCLights=0
iScreenShotIndex=0
fMaxFocusShadowMapDistance=450.0000
bPrecipitationOcclusion=1
iMaxSkinDecalsPerFrame=0
iMaxDecalsPerFrame=0
sD3DDevice="Intel® HD Graphics 4600"
iTexMipMapSkip=2
bEnableRainOcclusion=0
iAdapter=0
[Imagespace]
bDoDepthOfField=1
bScreenSpaceBokeh=0
bMBEnable=0
bLensFlare=0
[Pipboy]
fPipboyEffectColorB=0.0900
fPipboyEffectColorG=1.0000
fPipboyEffectColorR=0.0800
[VATS]
fModMenuEffectHighlightPAColorB=0.4100
fModMenuEffectHighlightPAColorG=0.8200
fModMenuEffectHighlightPAColorR=1.0000
fModMenuEffectPAColorB=0.4100
fModMenuEffectPAColorG=0.8200
fModMenuEffectPAColorR=1.0000
fModMenuEffectHighlightColorB=0.0824
fModMenuEffectHighlightColorG=1.0000
fModMenuEffectHighlightColorR=0.0706
fModMenuEffectColorB=0.4200
fModMenuEffectColorG=0.9900
fModMenuEffectColorR=0.4900
[MAIN]
fSkyCellRefFadeDistance=150000.0000
bCrosshairEnabled=1
fHUDOpacity=1.0000
bSaveOnPause=1
bSaveOnTravel=1
bSaveOnWait=1
bSaveOnRest=1
[LightingShader]
bScreenSpaceSubsurfaceScattering=0
bScreenSpaceReflections=0
[General]
bGamepadEnable=1
bPipboyCompanionEnabled=0
iStoryManagerLoggingEvent=-1
bEnableStoryManagerLogging=0
uGridsToLoad=5
[Interface]
bDialogueSubtitles=1
bGeneralSubtitles=1
iHUDColorB=21
iHUDColorG=255
iHUDColorR=18
bDialogueCameraEnable=1
bShowCompass=1
[Controls]
fMouseHeadingSensitivity=0.0300
fGamepadHeadingSensitivity=0.6667
bAlwaysRunByDefault=1
bInvertYValues=0
bGamePadRumble=1
[GamePlay]
iDifficulty=2
bShowFloatingQuestMarkers=1
bShowQuestMarkers=1
[Particles]
iMaxDesired=750
[SaveGame]
fAutosaveEveryXMins=10.0000
[AudioMenu]
fAudioMasterVolume=1.0000
fVal7=1.0000
uID7=0
fVal6=1.0000
uID6=0
fVal5=1.0000
uID5=0
fVal4=0.6500
uID4=138006
fVal3=0.6500
uID3=1007612
fVal2=1.0000
uID2=94881
fVal1=0.6500
uID1=466532
fVal0=0.6500
uID0=554685
[Water]
bUseWaterDisplacements=1
bUseWaterRefractions=1
bUseWaterReflections=1
bUseWaterDepth=1
[TerrainManager]
fTreeLoadDistance=12500.0000
fBlockMaximumDistance=100000.0000
fBlockLevel2Distance=75000.0000
fBlockLevel1Distance=25000.0000
fBlockLevel0Distance=15000.0000
fSplitDistanceMult=0.5000
bShowLODInEditor=0
[Grass]
fGrassStartFadeDistance=0.0000
fGrassMaxStartFadeDistance=7000.0000
fGrassMinStartFadeDistance=400.0000
[Decals]
uMaxDecals=0
bDecals=0
bSkinnedDecals=0
uMaxSkinDecals=0
uMaxSkinDecalsPerActor=0
[LOD]
fLODFadeOutMultSkyCell=1.0000
fLODFadeOutMultObjects=5.0000
fLODFadeOutMultItems=1.5000
fLODFadeOutMultActors=5.0000
[BlurShaderHDR]
bDoHighDynamicRange=0
[BlurShader]
bUseBlurShader=0
[Launcher]
uLastAspectRatio=0