Don't re-install, that's not the problem. I've been wrestling with this for days now. Go to this thread, it's the new nVidia App while using an AMD chip.
Further update. I just installed the latest NVIDIA drivers and had the same issues. But was able to fix it by deleting all the 190_E658703.dll files again. Everything is fine since. I've sent a detailed email to the developers and we'll see if they make a patch. For now, deleting 190_E658703.dll should fix any issues. It may come up as a different file in the event viewer the first time, in which case, let it start up again and it will crash because of 190_E658703.dll, hence, delete the files.
Right, I also read that those dlls were installed with the new nVidia app and simply uninstalling the app would correct the issue, so I took that route and finally have a working sim again. I was two seconds from a complete msfs re-install that would not have helped and wanted to assist others that might be going through the same thing.
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