I'm playing partially on M1 Max and I hadn't played for a bit bit since the patch came out on Windows because I need cross save with Steam Deck to work. It does seem noticeably slower now than it had been. I'd just put it down to having just arrived in Act 3 as I remember complaints about Act 3 performance at release. I'm not normally super fussed about frame rate and will push the settings higher than they probably should be to get it looking prettier rather than smoother. But it's at a point where it's testing even my patience now, and turning the settings down isn't seeming to make much difference. I'm playing on Ultra at the moment. Only on turning all the way down to Low and 1080p does it feel like it's maybe getting performance similar to what I've had all through the rest of the game.