#240 fps
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Custom then >
you need a monitor capable of that refresh rate to be able to use it, you have more information here
https://nvidia.custhelp.com/app/answers/detail/a_id/5223
and a possible workaround https://www.reddit.com/r/GeForceNOW/comments/1e78o23/tutorial_be_able_to_activate_and_dial_240_fps_in/