your eqgame.exe administrator permissions is so it can write to the folder that is read only to a normal user - this protection on those folders were introduced in vista and windows 7 but the titanium edition was probably still being heavily used on xp at the time.
as for the drivers you should probably just load them up and click next next next to most of it and do a reboot.
you should definitely be doing the processor affinity fix so this older version of eq can operate correctly on multi-core processors - even if it's not completely fixing your issue you will need this.
are the major slow down then speed up issues related to the ddos attacks that everyone has been experiencing? being in unrest we often find the zone freezes for a while then when the attacks stop everything happens at a very quick speed until it stabilises again?
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