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My TF2 crashes all the time, no idea why but here’s some info:
-I think it started with Steampipe
-It crashes randomly, meaning I don’t perform an action that causes the crash
-When I launch TF2 after a crash my items are gone

Tried:

Verifying game cache and reinstalling TF2/Steam

I’ll give you 3 refined if you find a fix.

Put mat_queue_mode 0 in your autoexec.cfg

Quoted from Croogah

My TF2 crashes all the time, no idea why but here’s some info:
-I think it started with Steampipe
-It crashes randomly, meaning I don’t perform an action that causes the crash
-When I launch TF2 after a crash my items are gone

Tried:

Verifying game cache and reinstalling TF2/Steam

I’ll give you 3 refined if you find a fix.

don’t tell me you have black screen and sound loop as well?
BROTHERHOOD.

Quoted from Python

Put mat_queue_mode 0 in your autoexec.cfg

Didn’t work :'(

Quoted from sing8d

I have that and keep crashing, what do I do?

This is an old nvidia bug of specific cards (generations 8xxx, 9xxx, 2xx, 3xx and some revisions of 4xx), guys at nvidia are aware of this, but still trying to fix it (for 2 years lol). Here is the topic on steamforums: http://forums.steampowered.com/forums/showthread.php?t=1774666

There is no working solution for dx9 mode. The only option is playing on dx8. Or buy amd card ofc (or newer nvidia ones).

Quoted from irfx

[…]

There is no working solution for dx9 mode. The only option is playing on dx8. Or buy amd card ofc (or newer nvidia ones).

Old drivers like 182.50 will fix the issue and 320.18 works for me just fine as well.
Using gts250.