Just to throw out some ideas,
If your card doesn't support OpenGL then you're screwed.
[SELECT ALL] Code:
texreduce 3 //Reduces texture resolution
trilinear 0 //Disables trilinear filtering
dynlights 0 //Disables dynamic lights
minlod 60 //Lower level of detail
vsync 0 //No vertical sync
gibttl 0 //No gibs
lighterror 20 //The higher, the faster, the uglier