In situations where the game is running too fast, disabling vsync often works but still may result in slight speed issues on some setups. This is my recommended fix for high refresh monitors (should also be useful for other games with this problem):
If you have an Nvidia card: Open the Nvidia control panel, go to Manage 3D settings and click the "program settings" tab.
Under "select program to customize" select "they bleed pixels pc.exe" , you may need to click the "Add" button to locate it but if you've run it recently it's probably in the list.
Once it's selected, find Max Frame Rate in the "Specify the settings for this program" list and set it to 60fps. Click apply and you should be good to go.
They Bleed Pixels should now play at the correct frame rate and speed regardless of your monitor settings with v-sync on, and it won't impact other games.
If you have an AMD card you should be able to do something similar using the application profiles and "Radeon Chill". Just make sure you apply the settings only to They Bleed Pixels and set the min and max values to 60.
Unfortunately I don't have access to a machine with an AMD card so haven't been able to confirm this works, but it should be the same.
Hope that helps!