Stride fates HD profile is unplayble, 40-50 fps with huge reprojections. Also i cant change refresh rate in any game, i set it to 90 or 120, but OVR displayed drr is 72.
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This means, you don't use my HD profile and that you GPU level is too low but your texture resolution is too high, also I don't see any FFR on you screenshot.
IMO, you are playing your game with another game profile, or a profile that persists because you don't have auto detection enable. Is ADB green for you, do you have auto detection enaled ? Did you receive applied profile notification ? From where do you start this game ? QGO or Meta Quest home ?