So i know the original game had issues going over 60hz and even though its not clear if this game supports it, i am already getting graphical glitches and NPCs teleporting around at 144hz. Is this actually a refresh rate problem or is something else going on? And Is there any way to turn on vsync or do i really have to manually lower my refresh rate every time i want to play?

More of a frame rate problem. What GPU are you using?

GTX 1080

Gotta wait for ENB to fix this again for GSync / 60+ hertz. No way gamesas will raise a finger too fix a 2+ year old game, it's not their MO.

Can you try settings the driver for SSE (make a profile) to adaptive half vsync? You can also try to use nvidia driver inspector to set half vsync refresh rate.

http://www.guru3d.com/files-details/nvidia-inspector-download.html

http://imgur.com/B4PMlI3

For those with Gsync, just cap the frame rate. I think inspector can do this. Maybe they will address this though I doubt it as this is common in these BETH games including FO4.

A workaround isn't the same as a solution, and GSync is too nice a feature to still have to disable in 2016. I want gamesas to finally come through with a fix.

Yeah it's pretty clumsy to have to change your monitor settings just to play but apparently it's kinda a must

Dont have to disable it. Just set the cap. I agree it should be addressed. Though that may mean major changes IDK.

That is why they have driver profiles for different games.