Anyone else have issues with faces being dark until you get up close and they suddenly lighten up and look normal?
I have settings at high/very high and the sliders maxed.
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Did you tried to download latest graphic driver for your card? I know it’s classic question but still 
Drivers are up to date. It’s an issue with the game itself and the way the LOD system loads skin textures. The distant skin texture doesn’t take on the qualities of the scene around it so the skin will appear dark/shaded even when in direct sunlight. Then as the NPC approaches you the LOD texture is replaced with the default one which is affected by lighting and their face appears to pop as it changes from dark to light.