If you have a GeForce RTX 30 series card, you should be easily able to run the game at 60 FPS using DLSS Quality even at Ultra ray-tracing quality. However, for owners of older RTX 20 series parts, I’d suggest the “Normal” or “High” quality preset as there’s not much difference in terms of visual fidelity.
The differences in exteriors are very minute and can be observed primarily in shaded areas such as the forest and around man-made structures. In terms of performance, going from normal to high costs you just 5-6 frames, but the ultra preset is quite taxing reducing the performance by more than 20%. However, all three presets are pretty stable and there aren’t any unexpected drops even at the highest quality.