So after turning my 2nd monitor off and running it full screen I have not had a single DX 11000002 error in 140 hours of game play. Before I was getting at least one crash every 5 hours (once per evening). It looks like I fixed the issue myself.

To recap I am also running as the following spec - even though I got crashes with the below config. - Turning my 2nd monitor off really made the difference.

Running no extra gfx mods
Nvidia drivers v466.27
Windows 10 build 20H2 (19042.985)
1440p resolution on a gsync 144Hz monitor
Gsync turned on
Steam and discord and nvidia overlays disabled

Hardware Specs
RTX 3090
32GB DDR4 RAM
Ryzen 9 5950x