I get the same crash error I have even set many things lower in the in game graphics tab to set things lower or turning things off and i still have the same problem.
Its one of the trainer options that cuase it. I was sure I posted about this last year. I forget which option that causes it.
****UPDATE AFTER TESTING AGAIN****
The fatal crash is caused by the God Mode option. When you go up or down ladders or vines. So to stop this from happening you will need to turn the option off go up or down the ladder or vines then turn it back on.
[Edited by ServiusTheBear, 2/5/2022 4:23:10 AM]