[2023] CK3 Crashing When on 5 Speed

YungGuady said: Game full screen running 60fps No Vsync

Are you sure of that? The settings file you send in shows the cap at 165! Please set that to 60.

YungGuady said: Definitely above minimum specs and there's definitely NO cooling issues at all, game runs at a cool 50c

That is for both CPU and GPU?

Processor: 13th Gen Intel(R) Core(TM) i9-13900K (32 CPUs), ~3.0GHz

We may be seeing issues like this on new CPUs . Of those 32 cores, the first 16 are p-cores and the last 16 are e-cores. Can you please use Affinity in Task Manager to restrict ck3.exe to the first 16 cores and see if that helps?