Game Crash on Launch + Screen Tearing

@gedavids  Among the errors in your dxdiag are crashes of Nahimic, an audio technology that comes with MSI computers, and some others.  You can try installing the Realtek Audio on MSI's download page for your laptop; the version is newer than yours:

https://www.msi.com/Laptop/support/GP63-Leopard-8RE#down-driver&Win10%2064

If Nahimic keeps crashing, you could simply uninstall it.

One Sims 4 crash mentions Nvidia software as well.  This can happen randomly, but if there are more crashes, the next step would be a clean uninstall and reinstall of the Nvidia driver, since you already have the latest version.

But before getting to that, please undo the optimization in GeForce Experience.  It's better if you set the graphics options yourself—one less thing that could go wrong.  GFE isn't as problematic as it used to be, but there really aren't any benefits to having it supervise your settings.

Please also enable vertical sync in the built-in Nvidia Control Panel.  (This only works in fullscreen mode, so please try playing in fullscreen, at least for now.)  Right-click on the desktop, select the CP, then Manage 3D Settings, then Program Settings, and you'll see this:

Choose Sims 4 (TS4_x64.exe) in the green box, then enable triple buffering, and set vertical sync to On (red box).

When you've updated the audio driver, undone the GeForce Experience optimization, and enabled vertical sync, please test the game a couple times.  If it still crashes, please run another dxdiag.