I just upgraded to a a 5700 XT Red Devil, which is nice and quiet. Unfortunately there are no settings in the software for Fallout 76, and the game keeps CDT (6 times today within an hour). The game never ran great to begin with, but it's simply unplayable atm. I usually don't tinker with settings, so I'm kinda at a loss what to do/change.
Powercolor 5700 XT Red Devil (19.9.2)
Ryzen 1600 @ 3.8GHz
Asus Prime 350-Plus (newest BIOS)
16 GB @ 3000MHz (16-18-18-38-71)
960 EVO 240GB