Re: graphics

@edansdill  Try updating the graphics driver for your dedicated card.  Asus doesn't currently list any drivers at all for this product, which is odd, but perhaps you'd have better luck on a non-U.S. website if you're from another country.  Make sure to use the Asus site itself, not a third-party driver repository; you're looking for drivers for the Zenbook Pro 15 Flip OLED (Q539).  Your current driver is 30.0.101.1325, dated March 10.

Or you can try the newest driver from Intel, available here:

https://www.intel.com/content/www/us/en/products/sku/228342/intel-arc-a370m-graphics/downloads.html

While it's generally better to use the drivers provided by the manufacturer of the laptop, that is superceded here by the fact that your dxdiag lists numerous errors that could be related to the driver, and of course the fact that the look of your game strongly suggests an issue with the driver or the graphics card itself.  (We're not at the point where the card is definitely the problem; I'm just saying it's a possibility.)

Either way, run the driver installer as an admin: right-click on the downloand and select "Run as administrator."  Restart your computer after installing the driver and before trying to play.

And I would like more details on the other games you play, not just that "they seem to work" but which games they are and how well they run, whether you ever see any graphcis glitches, that kind of thing.

@khitteh  The config file clearly shows that Sims 4 is using the dedicated graphics card (which is why I asked for that file) as well as rating it as uber, which is entirely appropriate.  Even if low settings and laptop mode worked, that would still indicate a serious issue that should be addressed.