I had some trouble getting this to work recently so I wanted to make a post showing what I did.

1. Launch the game
2. Exit the game
3. Go to c:\users\(username)\Documents\EA Games\Medal of Honor Pacific Assault(tm)\newconfig.cfg
4. this is mine


//
// Video Card Name: NVIDIA GeForce RTX 4080
// Video Card Memory: 4096 MB
// Video Card Family: NVidia
//
// CPU Clock Rate: 3394 MHz
// System Memory: 1024 MB
//
// Default config selection: High
//

set com_machinespeed_mhz "3394"
set com_performanceratio "2.42"
set cg_cull_factor "0.00001"
set cg_max_tempmodels "512"
set cl_previewBuild "0"
set com_machinespec "0"
set com_machinespeed_mhz "3394"
set com_performanceratio "2.42"
set com_pose_lod_bias "0"
set default_largetextures "0"
set default_machinespec "0"
set default_picmip "2"
set default_ps "1"
set default_screenwidth "640"
set g_enableik "0"
set g_footstepdecals "1"
set g_ragdolldeaths "1"
set r_allow_software "1"
set r_dds "1"
set r_drawdecals "1"
set r_drawshadows "1"
set r_drawterraindecals "1"
set r_first_person_fov_x "120"
set r_first_person_fov_y "100"
set r_largetextures "1"
set r_max_replicant_vertices "2500"
set r_max_replicant_vtx_buf_size "15000"
set r_picmip "2"
set r_postfx_enable "1"
set r_ps_generation "1"
set r_refreshrate "60"
set r_replicant_divide "1"
set r_screenheight "2160"
set r_screenwidth "3840"
set r_video_memory "256"
set r_vs_generation "1"
set r_vsync "1"
set s_khz "22"
set s_milesdriver "Miles Fast 2D Positional Audio"
set s_numobjects_per_frame "3"
set s_speaker_type "0"


AS you can see I set 4k resolution and extended the FOV.

set r_screenheight "2160"
set r_screenwidth "3840"
set r_first_person_fov_x "120"
set r_first_person_fov_y "100"

I tried this and the game won't launch. Also, my .cfg file didn't have an option to adjust FOV, so I added those lines and it still didn't work.

Thanks!

Works like a charm! Just copy paste the stuff below the Graphics card stuff (which should beyour own unique to your PC) and replace all text in the CFG.

Change resolution to what you want (I chose 1080p) and the FOV to what you want (I chose 90).