Well, your graphic card is somewhere at the minimum required to run this sim
so don't expect very good results with high settings and forget about AA.
In game AA works at 2x and for higher levels you'll need some injector tools
but I doubt your gfx card will be capable of running it.
Lower resolution one step down,be shure SSAO is off, put trees ,
buildings on mid, building details one step down and maybe effects also.
For the throttle problem uncheck antropomorfic in the realism settings
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