In regards to original post, this also happens on my machine.
Windows is updated and rtx2070 updated
Will try patch and other settings mentioned when I get home later.
MB: ASUS ROG Strix Z390-I
CPU: Intel core is 9700
MEM: x2 - Corsair Vengeance LPX 8GB 2666MHz CL16 DDR4
VID: Gigabyte GeForce RTX 2070
Ok I was able to choose Medium quality settings to get to the beach area, however, choosing Camp from the map screen made it crash.
On a lighter note im actually loving the game and reckon it will be so awesome in the future ♡