Graphics question, EDO game settings vs Nvidia Control Panel

Graphics is a foreign land to me, I don't really understand how it all comes together. But in the course of trying to resolve a continuing graphics issue, and reading these forums about so many possible settings and solutions (none of which work for me so far), it occurs to me that when I change a graphics setting in-game, am I really achieving an alteration if that setting has a different value in the Nvidia Control Panel?

This is a general question, not necessarily related to my specific problem, but I'm asking in the broadest context. Life has so many mysteries, and I'd be grateful for any help with this one. I'm asking in this particular forum because I only developed my graphics issue when Odyssey came along, and I see so many others in that same boat. Clarification might be helpful to the wider Odyssey audience than just me.
 
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