Game crashes immediately

You are likely best to do an inplace repair per this guide  intent with this is the only thing lost are window updates that just need to be installed again via windows update

I tried both, gave me this, wasn't sure how to continue from there

Microsoft Windows [Version 10.0.19045.5965]
(c) Microsoft Corporation. All rights reserved.

C:\WINDOWS\system32>sfc /scannow

Beginning system scan.  This process will take some time.

Beginning verification phase of system scan.
Verification 100% complete.

Windows Resource Protection found corrupt files but was unable to fix some of them.
For online repairs, details are included in the CBS log file located at
windir\Logs\CBS\CBS.log. For example C:\Windows\Logs\CBS\CBS.log. For offline
repairs, details are included in the log file provided by the /OFFLOGFILE flag.

C:\WINDOWS\system32>DISM.exe /Online /Cleanup-Image /RestoreHealth

Deployment Image Servicing and Management tool
Version: 10.0.19041.3636

Image Version: 10.0.19045.5965

[==========================100.0%==========================]
Error: 0x800f081f

The source files could not be found.
Use the "Source" option to specify the location of the files that are required to restore the feature. For more information on specifying a source location, see https://go.microsoft.com/fwlink/?LinkId=243077.

The DISM log file can be found at C:\WINDOWS\Logs\DISM\dism.log

Cant really see much else in the dxdiag

you have previously run the system file checker ? there are signs of it failing in the dxdiag 

have you tried DISM ? 

DISM.exe /Online /Cleanup-Image /RestoreHealth

thanks for the quick response, however it did not work

Make the changes below in bold, then save the file

[Renderer]
AntiAliasingLevel = 0
AtlasQuality = 1
Buckets = 4
CodeVersionChanged = true
EnableSSAO = true
GraphicsDeviceId = 8583
GraphicsQuality = 6
Height = 1080
InfoGraphicsVendor = NVIDIA_GPU
InfoGraphicsVideoMemoryMB = 3930
LastCodeVersionRun = 4
MeshLODQuality = 0
NativeHeight = 1080
NativeWidth = 1920
NewBucket = 4
ShadowMapNumCascades = 4
SpeedTreeDistanceScale = 0.75
TextureAnisotropy = 1
Width = 1920
DYDDrawDistancePreset = 0
D3DFullScreen = false
EnableBloom = false
TextureQuality = 1
AllowDepthOfField = false
doBlobShadows = false
doShadows = false
ShaderSet = 1
PlantDensity = 0
FullScreen = false
ShadowMapResolution = 1024
RefreshRate = 60