Works pretty consistently at 60fps 1080p but struggles a bit at 1440p. Shame i can't do both but otherwise looks and plays fine.

I can post some instructions on setting it up if anyone is interested its actually quite simple

Instructions:

• Download the fork of shadps4 that is for bloodborne here you will want the QT release for your relevant OS https://github.com/diegolix29/shadPS4/releases
• Download the GOTY copy of bloodborne I went for the link in the post here https://www.reddit.com/r/bloodborne/comments/1f80pjb/where_can_i_get_the_pkg_file_for_bloodborne_for/
• Download the 1.09 patch for the ISO ID you downloaded https://orbispatches.com/CUSA03173
• Download vertex explosion mod https://www.nexusmods.com/bloodborne/mods/109?tab=files this will disable face customising
• Download some other fix https://www.nexusmods.com/bloodborne/mods/70 i downloaded this and installed but it says for intel no idea if they're needed for amd
• There's also some other fixes I didn't download here https://www.nexusmods.com/bloodborne/mods/41?tab=files I would suggest playing and downloading patches to fix whatever issues you face, these fixes seem to be intel specific I have an AMD cpu I can't find much info on if they're needed for AMD or not but game seems to play fine
• Open shadps4 and install the game pkg file
• Install the patch pkg file
• Open the game installation folder and extract relevant mods into the folder and overwrite files
• In shadps4 settings turn on fullscreen if you want
• Right click on the game entry and click cheats and patches, click on patches tab and download patches
• Select shadps4 XML at the bottom of the patches page
• Enable skip intro, disable http requests, 60fps, force old hunters dlc, and if you want to upscale or downscale from the games native res you can select a resolution option below
• Give it a whirl

I'd recommend this for people who've already played and wanna see 60fps or upscaled res its not a perfect experience for new players which can be frustrating. It also has lots of compilation stutter when you first run it which can suck if it happens at the wrong time.