After the performance patch over the weekend, performance was much better but only for about the first 30 minutes or so. Fast traveling seems to introduce performance issues much sooner. Running the game at 1080p and targeting 60 fps. My build:
11700k
RTX 3070
32 GB DDR4 RAM
M2 SSD
I generally run at 1440p, but have to set my system to run at 1080 to get a decently solid 60 fps.