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@swuerfel Try forcing the game to launch in windowed mode. Go into Documents > Electronic Arts > The Sims 4, open Options.ini, search for fullscreen , and set it to 0 (zer0).
If that doesn't help, plesae run a dxdiag, with both monitors connected, and attach it to a post.
https://help.ea.com/en-us/help/pc/how-to-gather-dxdiag-information/