My game suddenly got very pixelated

Hello,

I have been playing Sims for few years straight now and never had this issue. My setting are all at max but the picture is super pixelated, especially looking from a distance.  I have reinstalled drivers and reinstalled the whole game. Tried without mods and gshade, still the same. Please help, those pixels really effect my gameplay and I dont want to play at all.. 

Processor    Intel(R) Core(TM) i7-10700 CPU @ 2.90GHz, 2901 Mhz, 8 Core(s), 16 Logical Processor(s)Installed Physical Memory (RAM)    48,0 GB

Driver NVIDIA GeForce 2060