PC Gets Extremely Loud Only When Gaming

Hope all is well, seeing if I can get some help and a second opinion on an issue my PC is facing.  ONLY when I play a game like World of Warcraft, Overwatch 2, etc my PC occasionally decides to run in overdrive as if it is overheating.  This also only happens for a split 1-2 seconds then goes back to normal.  For example if I do anything that isn't gaming ie- watcha  video, browse internet, etc my PC is perfectly fine no loudness but if I play any game, not right away but when it decides to do so, it will start becoming louder for roughly a second or 2 and it will do this on an up and down process.  What I mean by that is if you have seen a regular heartbeat in the hospital it is like that up and down up and down.  Whatever info you need from my end let me know and how to do it and I will get it for you.  Here is everything I have tried below, I am not a huge PC expert but can navigate a PC with ease once told what to do.  

I did a simple command prompt DISM and SCN

I ran a program called DDU to safely remove and uninstall my GPU 2060 Nvidia and reinstalled it from the website

I am trying everything besides a fresh install as I want to do that as a last resort, so if anyone has any ideas hit me up please.

OS Version: Microsoft Windows 10 Home, 64 bit, Build 19045, Installed 20220502140810.000000-420
Processor: Intel® Core™ i7-9700K CPU @ 3.60GHz, Intel64 Family 6 Model 158 Stepping 12, CPU Count: 8
Total Physical RAM: 16 GB
Graphics Card: NVIDIA GeForce RTX 2060
Hard Drives: C: 465 GB (73 GB Free); E: 465 GB (424 GB Free);
Motherboard: Micro-Star International Co., Ltd. MPG Z390M GAMING EDGE AC (MS-7B50), ver 1.0, s/n J316023582
System: American Megatrends Inc., ver OPC - 1072009, s/n J316023582
Antivirus: Windows Defender, Enabled and Updated

Not enough information :

Please Post a "link" of Speccy Report.
Please install Speccy Free : https://m.majorgeeks.com/files/details/speccy.html
Use Custom Install
  At the Top Left Corner of Speccy --> Click File and then Click Publish Snapshot Report, a window will popup and Click YES. --> Another popup will appear and then Click "Copy To Clipboard" then Paste that "link" to your next reply in your thread.

Download Minitoolbox from the below link :
http://www.bleepingcomputer.com/download/minitoolbox/
  Run the tool and only select the following tick boxes.
    -List last 10 Event viewer errors
    -List installed programs
    -List devices
    -List users, partition and memory size
Now click "Go" and Copy/Paste and post the output text in your next reply

Edited by Pkshadow, 02 April 2024 - 03:52 PM.

http://speccy.piriform.com/results/XUXmtgscbeflAutkZRZe4OZ

Notice you do not have current and last updates of C++

The one you have installed : Visual Studio 2008 Service Pack 1 reached end of extended support on April 10, 2018

As are a bunch of others : https://learn.microsoft.com/en-us/cpp/windows/latest-supported-vc-redist?view=msvc-170

Reputable site : https://www.techpowerup.com/download/visual-c-redistributable-runtime-package-all-in-one/   Then make sure after reboot you check Windows Update.

This is recommended here to leave it : Description: Installation Failure: Windows failed to install the following update with error 0x8024200b: 2024-01 Security Update for Windows 10 Version 22H2 for x64-based Systems (KB5034441).

But : https://www.windowslatest.com/2024/02/14/windows-10-kb5034441-is-still-broken-with-0x80070643-error/

There is a lot of comment and replies in Win 10 Forum on the subject.

Defender Error code: 0x8007045b    Note for info Only, do not download anything : https://www.thewindowsclub.com/windows-update-error-0x8007045b & https://windowsreport.com/windows-update-error-0x8007045b/

Note not all Error Messages in Event Viewer need to be fixed.  Should find this in Event Viewer and check the Severity if is Yellow or red might be worth while to fix .

Find Below by Date and Time Stamp.

Though this one :

Edited by Pkshadow, 02 April 2024 - 05:21 PM.

Might be worth while to run this : https://www.bleepingcomputer.com/download/malwarebytes-anti-malware/ and do not skip the last step of Basic Repair. Requires a reboot.

What do you suggest I do first?

Just as a matter of interest: When did you last clean the dust out of your PC. Particularly, the fins of the Graphics Card's Heat Exchanger, which may require you to take its cover off.

1st of every month, the PC might be the cleanest PC you'll ever see lol I am a clean freak 

This 1st, forgot to add to the page : should have anything in BIOS that speeds up the Boot turned off , Example ASUS FAST Boot for the same reasons as below :

Turn off MS Fast Start : https://www.windowscentral.com/how-disable-automatic-driver-updates-windows-10 /11 and WHY !!!

So, you've taken the cover off your Graphics Card and cleaned it's Heat Exchangers fins.

The whole shebang can be gleaming inside but, if they're blocked, it'll keep shutting down.

So let me see if I have this right:

In normal computing the noise from the PC is just like background noise?

When you play a graphics intensive game the PC gets louder and then gets quiet and then gets lound again? etc.

If you stop playing a graphics intensive game the PC goes back to just background noise?

Other than your heatsink might need a clean I'd say this is perfectly normal. When any PC does any intensive task it generates more heat so the fans automatically speed up and slow down to keep it cool.

If you are worried you can download a little bit of software that keeps an eye on GPU and CPU temps.

https://www.pcworld.com/article/397489/how-to-check-your-graphics-card-gpu-temperature.html