Graphics rendering issues

Framerate is good. Best it has been.
NVIDIA GeForce RTX 2060
AMD Ryzen 5 3600 0-Core (3,59 GHz)
16GB RAM
Render resolution NVIDIA DLAA
DirectX12
Adaptive Vsync
Triple-Buffering enabled
Anialiasing off
Upscale mode NVIDIA DLSS
Sharpness 15%
Shadows: All default
Bloom 48%
DoF, Water, Texture: All Default
Texture Filtering 16x anisotropic
Dynamic culling disabled
Dynamic reso enabled
Multithreading enabled

I have tried changing all of the above. None of them fix the issue.

Issue description:
Monsters and their skill effects do not render or render very slowly. Non-exhaustive list of examples:
Breach monsters - The monsters in breach are most commonly missing. I can only see the red dots or the magic/rare glow.
Vruun boss in unstable breach - Usually weapon and skill effects do not render, however, I have completed the fight without seeing the boss either.
Expedition - markers, explosive radius indicator (green)
Harvest - Plants near the sprinkler do not render. Monsters usually do.
Monsters and their skills just in general - bearer explosions, temporal bubble, mana siphoner ring are the most commonly missing things.
Bosses in Maven encounter - Have completed the encounter without seeing a single boss. Their skills render better.
Curse indicators - my curse signs are not visible although enemy is cursed. This usually goes away after a while in map/encounter.


This is the first league I have encountered this issue and as mentioned it persists through changing the settings to lower and changing the renderer, which was the only suggestion I found online.

Usually it gets better with time in maps, but not always.

Specs in Hideout
https://imgur.com/a/NKSH3or

Just died on HC to this. Sirus meteor mazes and the exit indicators did not render. Died to meteor as I could not escape.

Also forgot to add that this is on standalone client.