If your monitor has a 10 bit setting, you can turn that on through the nvidia panel and it should get rid of those. Under Display, go to change resolution, then at the bottom, you can check the "use nvidia color settings" and toggle the output color depth from 8bpc to 10bpc (or higher if your monitor supports it)
My monitor doesn't seem to like this game so all the shadows during certain times of day or at night are very dark, blotchy and it's legit hard to see anything. I tried all kinds of fixes and reshade presets but this one fixes it for me and makes the game look even more stunning. It does impact my performance noticeably but I play with 60 fps locked anyway and its mostly stable.
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