Loads of crashes - Spec provided

So I came back after a couple of months break from the game and now the game is crashing LAODS. It either crashes to desktop or to a complete reboot.

I've got the latest drivers for GFX card etc, turned game settings down but to no avail.

Any hint as to what else to check please. I'll add specs and versions below:

PoE2 btw

Event viewer error
======================
Faulting application name: PathOfExile.exe, version: 0.0.0.0, time stamp: 0x688daa70
Faulting module name: PathOfExile.exe, version: 0.0.0.0, time stamp: 0x688daa70
Exception code: 0xc0000005
Fault offset: 0x0000000000e1fb56
Faulting process id: 0x5404
Faulting application start time: 0x1DC0F55611FA5B9
Faulting application path: D:\Grinding Gear Games\Path of Exile 2\PathOfExile.exe
Faulting module path: D:\Grinding Gear Games\Path of Exile 2\PathOfExile.exe
Report Id: 6be05c91-53d8-4241-8ac3-d3bb94feead5
Faulting package full name:
Faulting package-relative application ID: <none provided>

PC spec
======================
AMD Radeon RX 7900 XT
64 Gb Ram
AMD RYZEN 7 9800X
ASUS TUF GAMING B850-PLUS

Radeon Adrenaline Driver version: 25.8.1

Game settings
=======================
DirectX 12
Windowed Fullscreen
VSync: Adaptive
2560 x 1440
Upscale: NIS
MAx Render res: No upscale
sharpness: 2%

Tex qual: High
Tex filtering: 16x Ani. Filtering
Lighting: shadows + global
Shadow + GI Qual: High
Sun shadow qual: high
Sun shadow qual: high
number of lights: high
bloom: 100%
water detail qual: high

Have lowered in game Graphics/video settings to lowest and still crashing every 5 minutes.

Game for me is basically unplayable at this point