I'm not sure if this has already been discusses on this thread...considering there are 10 pages on it, but I'm going to mention this anyway. This latest patch is bogus from Bethesda. I cannot use SLI on this game. After a week it finally occurred to me after I have plundered through so many forums trying to see why the problems were happening....
The problem is the game will randomly crash without notice (sporadically), straight to desktop, and will give you no warning, no reason, and no explanation on why the crash happened, just straight to desktop... Finally found out that it's an SLI issue. With 1 card, no problems whatsoever. I hope that Bethesda sees and acknowledges this error, but only time will tell. Maybe it's a driver issue... but no, all apps/programs work fine, but this one in SLI, no way.