Thing is, that disables everything, there is no middle ground. I love good graphics in game but as an older player this stuff is often just blinding me and causing to squint. There is also a big difference between those who are still on 1080p lagging behind on their systems, and those of us that have 2k or 4k displays, often significantly larger displays. That is definetly something else to consider.
Even if I scale down to 1080, the sheer size of my screen nowadays makes a difference.
I do not see why they didn’t simply do what so many other games have, use sliders for how much of any given effect you want, or at least one of those 3-5 position ones. I mean seriously, its a fairly common feature, so why is this not in here yet ?