heat issues with 4090 after this patch

Currently, I have everything set on low, which is somewhat ridiculous already to keep the heat down.

I have noticed that when I interact with the mercenary and the game pauses, the heat and fans on my card slowly ramp up until it's at maximum fan speed and well into the 80C territory. This happens 100% of the time. Sometimes when there's ground effects like delirium/blight/breach, pretty much anything with high density, the same behavior occurs.

I have tried everything, other than undervolting my card, which I am about to do.