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Thanks for the reply!
@ Dustlex :
I tried to setting it to high performance in the graphics settings of Windows, but no change to the issue unfortunately.
@ Puzzleaddict :
Reverted optimization in Nvidia app and changed driver settings of "CUDA - GPUs" from "NVIDIA GeForce RTX Laptop GPU" to "None". This was the only option I could find in the Nvidia app regarding Sims 4 and GPUs, as there doesn't seem to be any setting that's clearly related to changing to integrated graphics here. I also unchecked a box saying "Automatically optimize added games and apps".
I then went into the graphics settings in Windows, added the TS4_x64.exe and changed this from "high performance" to "power-saving". Sims 4 then ran smoothly all day yesterday on the integrated graphics!
So I therefore assume that the problem is with Nvidia (?).
As good measure I tried to run another game than Sims on the Nvidia card (Tropico 6), using the reccomended graphics settings of Ultra. Like on Sims 4 it runs fine for a few minutes before crashing in a similar fashion (the screen freezes but doesnt close and my computer is otherwise responding). Here I also got a crash report when it happened and I attached it in this post in case it is related to the Sims 4 crashes (see the image below).
I dont know for sure that its related or not though. What do you recommend as my next steps?