So I found the issue in case anyone comes across this. I had to switch to x11 gnome instead of wayland on the login screen in fedora 38. After that Diablo runs like butter!

Ahh thanks this looks promising. The only thing that I don’t get from that article is where they talk about the nvidia gui settings. I’m not seeing that. Is that the same as the nvidia xserver application?

Can someone explain what this means? I’m new to Linux gaming. Don’t really get what the difference is between wayland and x11. Will this improve performance in d4 on distros like fedora?