I've been experiencing the expected audio desync and screen-flicker issues when running this game on modern hardware, and after poking around the forum I saw someone mention that setting the refresh rate to 60 Hz fixed the former for them. I gave it a try myself, and it worked like a charm. I also learned that the game was totally stretched out was due to it not really playing nice with widescreen resolutions, so I figured I'd be fine with going down to 1280x960 if necessary. I tried doing both at once...but when I did so, the resolution reset to the normal stretched 1080p, even though I had 1280x960 selected in the launcher. Even stranger, this only happens if I set the refresh rate to 60 Hz: setting it any of the other available settings, from 100 up to 144 Hz, gives me the desired resolution, but reintroduces the audio sync bug. This happens whether or not HW vertex processing is selected (though removing it does help with the flicker). I can't understand why simply changing the refresh rate would completely override the resolution setting. I dug around, but I can't find any sort of .ini file or registry setting that would allow me to select the resolution and refresh rate manually. Is there any way to do that?

(I'm running the game on a GTX 970 and Core i7 4690K with Windows 7 Professional 64-bit. My Nvidia drivers should be fully updated, as far as I'm aware.)

Edit: I just tried at another resolution, 1024x768, and the same thing happens: any refresh rate under 100Hz stretches the whole screen out, while anything 100Hz or above displays it properly in 4:3. Totally bizarre. What's even weirder is that the actual OSD on my monitor is displaying the proper resolution, but it's not appearing correctly in-game.

I had the same problem: in my case the only (partial) solution was to run the game in windowed mode (I discovered it by chance because, for some reason, it's how the game runs if I launch it from the settings panel). It's a little annoying but for me it was even more annoying to have the image stretched. If anyone has a better solution, I'd love to hear it too.