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
Product : 8
Version : 17
SubVersion : 10
Build : 1132
[VGA02]
AMD Radeon HD 6800 Series
aticfx32.dll
\\.\DISPLAY2
Product : 8
Version : 17
SubVersion : 10
Build : 1132
Available texture memory : 752 M
[ directx caps ]
DeviceType = HAL
Max stream number= 16
Max texture size is 16384, 16384
can obtain texture from non-local video memory... = OK
can obtain texture from system memory.... = NG
can obtain texture from device memory.... = OK
StretchRect is supports
alpha in texture pixels is supported............... = OK
possible for textures to not be square
texture width and height must be a power of 2
src blend DESTALPHA = OK
src blend DESTALPHA = OK
src blend INVDESTALPHA = OK
src blend INVDESTCOLOR = OK
src blend INVSRCALPHA = OK
src blend INVSRCCOLOR = OK
src blend ONE = OK
src blend SRCALPHA = OK
src blend SRCALPHASAT = OK
src blend SRCCOLOR = OK
src blend ZERO = OK
dest blend DESTALPHA = OK
dest blend DESTALPHA = OK
dest blend INVDESTALPHA = OK
dest blend INVDESTCOLOR = OK
dest blend INVSRCALPHA = OK
dest blend INVSRCCOLOR = OK
dest blend ONE = OK
dest blend SRCALPHA = OK
dest blend SRCALPHASAT = OK
dest blend SRCCOLOR = OK
dest blend ZERO = OK
MINFLINEAR = OK
MAGFLINEAR = OK