Steam was set to auto-update, so I think it's the patch for me. After fiddling around with some options (reducing AA/AL, etc) updating drivers, and rebooting I still have no buttons for the main menu. -- edit Just did a new google search with some alternative search terms, and found this: http://skyrimforums.org/threads/main-menu-invisible-after-1-2-update.1899/ Looks like we'll need to wait for the mod to be updated.