DLSS even on quality also seems jacked up after the patch. The area I was in looked horrible with lots of shimmering and aliasing especially when I had my flashlight pointed at things. I mean I could see the lines crawling on Ellie's backpack and her hair just fizzling and the wall was shimmering. I turned off DLSS and the image cleared right up and looked so much better.
Have not looked at this patch yet. But DLSS had a number of visual issues (like it does in all games) before the patch. In this game it was mainly things in the distance. Skyscraper windows would have lots of jittery lines along the windows. Very noticeable when moving. Things up close generally looked the same. Would be disappointing if it looked worse with this patch.