Well after the flood of positive reports I decided to break protocol and try this fix.
Bottom line. It worked.
In the basemant of Gomorrah Casino there is a dance floor. Before applying the fix listed by the OP
my frame rate was 15fps (fraps) if viewing from the floor facing the male dancer on one end and the females on the other side of the room.
With this fix a solid 60 SIXTY FPS even if the dancers boobs jiggle (maybe I'm seeing things).
What the F is wrong with you at bethesda? You release a game like this and blow HOW MANY sales due to some idiot oversight ?
ANyway, thanks for the fix.
Oddly, when comparing the filesize of the d3d9.dll found on megaupload and the ones installed in myi Win 7 64 bit system one notes a glaring difference that may explain SOMETHING.
megaupload dll size is a mere 104 KB
The d3d9.dll from the windows/sys64wow dir is about 1.74 MegaBytes or so (as I recall )
THe d3d9.dll from the windows/system dir is about 2.3 MB or so
The above figures are approx I' had looked earlier but didn't write the figures down.
Could it be MS BS bloat , just wondering.
I had tried both of the system dll's before trying the one found on Megaupload as listed by the OP but those did not work.
Using the syswow64 dll breaks fraps too.
As others have said, once I used the megaupload dll the game re-detected my vid and set my settings to medium. I set them to High as I had set earlier.
After I close this post I plan to restart the game using ultra since it seems to be running 1000 percent better around multiple NPC's.
For record system specs:
Windows 7 64bit
Mobo: Abit IP-35 Pro
CPU: Intel Core 2 duo E8500 @3.16Ghz (default clock)
4 GB of cheesy grade RAM.
GPU: Nvidia GTX 285 (default clock)
Nvidia driver 197.45
Realtek system board based sound hardware.
Monitor LG 24 inch LCD(L246WP) at 1920x1280
Mouse: Logitech G5 with 4.80 64 bit Setpoint drivers.
Keyboard: Logitech G15