Re: Sims 3 looks grainy and pixelated- please help!
@cocoawhirl Have you confirmed that the game is in fact using your Nvidia GPU? It would be listed in DeviceConfig.log (in Documents > Electronic Arts > The Sims 3), about 30 lines down. And does it help to play in fullscreen mode?
Please also enable antialiasing settings in the Nvidia Control Panel. Try everything you see there, with the CP set to override application settings where appropriate. Sometimes it takes a bit of experimenting to get a good result. Apply the settings to TS3.exe if you've installed through the EA App, or TS3W.exe, with the W, if you have a Steam or all-disc install. Please do test in both fullscreen and windowed modes.
Please also run a dxdiag and attach it to a post, for reference.
https://help.ea.com/en-us/help/pc/how-to-gather-dxdiag-information/
Having said that, some pixellation and color banding is unavoidable with Sims 3. The problem (or at least part of it) is that newer drivers don't support dithering, a technique that disguised color banding and other results of low-res textures that old games often use. Reshade can help, as you've probably seen, but is not a fix.