Thanks! I went through that list, and I'm still pretty flumoxed because there really isn't much installed on this system at all.
As you can see the startup that is enabled is pretty limited, and the stuff that's disabled below are things like Copilot, Xbox, and Teams.
Under Processes, you can see there's not a lot running under background that isn't standard windows, and same with the processes.
But you're right, logically something is running in main mode that isn't in safe mode, and all I can think of is the NVIDIA drivers or Adobe Creative Cloud, but that makes no sense at all.
I even checked on the permissions of everything, and all seems good, like the temp file mentioned at that link.
Only other thing mentioned was to try the 32 bit version, but I didn't find one and I've got a feeling that there isn't one anymore.
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