Looked into the config log for the game and this popped up which struck me as odd. "can obtain texture from system memory.... = NG" The rest of the log is below. I have had 2-3 people walk me through the install of this game so I know I am not installing it incorrectly.
[OS]
Windows Vista Home Premium Edition ( 6.01.7601 Service Pack 1 )
HDD 449( 931 )
Memory 4095 / 4095 MB [ 34% ]
[VGA00]
AMD Radeon HD 6800 Series
aticfx32.dll
\\.\DISPLAY4
Product : 8
Version : 17
SubVersion : 10
Build : 1132
[VGA01]
AMD Radeon HD 6800 Series
aticfx32.dll
\\.\DISPLAY1