Okay so I have been battling this since 5am

I have Rolled Back my Nvidia Drivers
Removed Nivdia aspect scaling
Closed all possible overlays
Updated my GPU
Ran Windows Updates
Checked DXDiag (No issues seen)
Performed a full clean reinstall of Game and Drivers

Still not working, I downgrade to Directx9 through the settings before trying to launch and that works to at least get me playing. Hope they have a fix soon, I was able to play with Directx11 no problem right before this patch.