If possible, I play all of my games at 1920x1080 because it is the native resolution of my DLP television. It looks much better if you can maintain 1080p instead of using a lower res.
The visual setting screen for Necrovision is the same as Painkiller so I believe it is using a newer version of the Pain engine. I know for a fact that I played Painkiller at 1920x1200 on a Samsung 24" LCD back in the day. This should not be a big problem.
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