Works amazingly well for me after a bunch of setting tweaks and enabling some mild foveated rendering through OpenXR. Better than AMS2, ACC and about as well as iRacing.
Currently about 20% of the way through Toll the Hounds. I have been read Malazan for, I kid you not, the last two years. I get most of my reading in little chunks of 20-40 min before I fall asleep, so it's been very slow going. But MAN has it been awesome.