I have the RTX2070 and had done a bunch of stuff, moving EQ into the root directory, trying to run it using different graphics settings, etc. The issue was so random it was very frustrating to find what I thought was working did not actually work.
The solution that worked for me was the DGVOODOO, which involved downloading a couple of small DLL files and putting them in your EQ folder. When you run the game there is a watermark that says DGVOODOO in the lower right corner of your window if it is working correctly. Never had an issue since then.
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