I had some trouble getting this to work recently so I wanted to make a post showing what I did.

1. Launch the game
2. Exit the game
3. Go to c:\users\(username)\Documents\EA Games\Medal of Honor Pacific Assault(tm)\newconfig.cfg
4. this is mine


//
// Video Card Name: NVIDIA GeForce RTX 4080
// Video Card Memory: 4096 MB
// Video Card Family: NVidia
//
// CPU Clock Rate: 3394 MHz
// System Memory: 1024 MB
//
// Default config selection: High
//

set com_machinespeed_mhz "3394"
set com_performanceratio "2.42"
set cg_cull_factor "0.00001"
set cg_max_tempmodels "512"
set cl_previewBuild "0"
set com_machinespec "0"
set com_machinespeed_mhz "3394"
set com_performanceratio "2.42"
set com_pose_lod_bias "0"
set default_largetextures "0"
set default_machinespec "0"
set default_picmip "2"
set default_ps "1"
set default_screenwidth "640"
set g_enableik "0"
set g_footstepdecals "1"
set g_ragdolldeaths "1"
set r_allow_software "1"
set r_dds "1"
set r_drawdecals "1"
set r_drawshadows "1"
set r_drawterraindecals "1"
set r_first_person_fov_x "120"
set r_first_person_fov_y "100"
set r_largetextures "1"
set r_max_replicant_vertices "2500"
set r_max_replicant_vtx_buf_size "15000"
set r_picmip "2"
set r_postfx_enable "1"
set r_ps_generation "1"
set r_refreshrate "60"
set r_replicant_divide "1"
set r_screenheight "2160"
set r_screenwidth "3840"
set r_video_memory "256"
set r_vs_generation "1"
set r_vsync "1"
set s_khz "22"
set s_milesdriver "Miles Fast 2D Positional Audio"
set s_numobjects_per_frame "3"
set s_speaker_type "0"


AS you can see I set 4k resolution and extended the FOV.

set r_screenheight "2160"
set r_screenwidth "3840"
set r_first_person_fov_x "120"
set r_first_person_fov_y "100"