Having problems playing Grand Theft Auto IV gta4

I'm having issues playing this game. It loads and everything, but I'm getting a horrible frame rate and it lags a lot.
I know I'm well within the system requirements. Not matter what I set the settings, the game lags/is slow.
All help is appreciated!

Athlon II X3 440
2 x 2GB ADATA DDR3
Asus DirctCU 5850
Windows 7 64Bit
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More about having problems playing grand theft auto gta4
  1. You have to install 1.0.4.0 patch, google for it... ;)
  2. That helped. Now I can play the game, but only on the lowest settings. Any idea what gives?
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