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Someone please correct me if I'm wrong, but DLSS Quality Mode results in a shaper image (well, more like 'less blurry' at 1080p), whereas DLSS (Ultra) Performance Mode results in better performance but a blurrier image. Quality + Medium vs. Performance + High is basically a tradeoff between a sharper image + worse graphics otherwise vs. a blurrier image + better graphics... and the performance of those two might also not be equal. Of course it's up to you which you prefer in practice.

For the record, I don't think DLSS of any kind is liked very well with 1080p, but since you have a relatively low-end graphics card, you might have to stick with it anyway.