How to get Fallout 1 running smoothly on Windows 10?

OrangeSkull49

First time out of the vault
I've been trying to get this game to run good on my laptop, but I encounter screen tearing, audio bugs, and occasional stutters. Anyone know what the problem is? Btw I'm using the Fixt mod with the high res patch enabled. I also tried switching it to Direct X9 to no avail.
 
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