Hello James, welcome to the Microsoft community, I'll be happy to help you today;
I understand that the PC is slow;
What exactly is your NVIDIA graphics card model?
Before answering the question above, I recommend that you uninstall all third-party antiviruses that you have installed on your PC, such as: Malwarebytes, AVG, etc.;
Leave only Windows Defender protecting the PC;
Make all pending updates in WIndows Update;
Press Windows key + i and go to Update and Security;
Click Check for updates and do ALL pending updates;
run a disk cleanup;
Press WIndows key + R and type: cleanmgr press Enter;
Click Clean System Files and wait for the files to load;
Select all items and click Ok to delete them;
Run System File Checker;
Click on the Windows search bar and type: CMD
The search result for CMD (Command Prompt) will be displayed, click Run as administrator;
Copy and paste the commands below by pressing Enter after typing each command line:
Sfc /ScanNow
DISM /Online /Cleanup-Image /ScanHealth
Dism /Online /Cleanup-image /RestoreHealth
Do a clean boot;
Press the keys: Ctrl+Shift+Esc to access the task manager;
Click Startup and disable all programs that start with Windows;
Restart the PC and check if the performance issue still persists;
See you soon!