Nevermind. Works fine now, 99fps in 1920*1080/8xAA max-everything.
Seems dual monitors had messed up my drivers.
Also, adding TRA.EXE to the nvidia profile was required. By default only TRAE.EXE was listed.
-unedited post below-
For some reason the game is completely unplayable for me.
Im sure im reaching the bottom requirements, still the sound begins to lag in the intro (every 2 seconds it gets silent, like in extreme lag). Then when Lara and the Menu pops up, the sound continues to lag and I can barely move the menu up and down.
Other games like Two Worlds works fine in the highest resolution.