It worked!
For some reason the nouveau driver still loads but I set the option modeset=0 on it and now it doesn't grab the GPU, and then the nvidia drivers load
Ok, I've restarted, it's still not running the nvidia drivers, looks like the nouveau drivers still grabs the GPU first, even though I think I've disabled the nouveau driver
Found this discussion thread, I'm going to try this
https://discussion.fedoraproject.org/t/after-install-fedora-44-nvidia-drivers-failed-to-load-and-it-falled-back-to-nouveau/189884/16
Ok, so it appears that my graphics card is now so old it's out of support, so I need to install the old drivers instead of the newest version
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