After some tweaking, I got it to actually run. The main problem I have is that I can't get aspect ratio scaling like I could in Windows 7. The option just doesn't show up in the NVIDIA control panel. When I set it to run on my integrated Intel card, even though I have it configured to use aspect ratio scaling, it still stretches the screen.
Does anyone know how to enable aspect ratio scaling? I have just installed Windows XP on a virtual machine for now, but this is not as good of a solution.