I figured it out. Was the CROSS gore mod that I installed manually conflicting with the gore mod I installed with a manager. I uninstalled both, manually cleaned the files, and only reinstalled one.
I have an odd CTD issue that started recently where the game immediately CTDs if I take any damage at all. Modlist can be found in the spoiler. Things I have done to try and resolve it: disable gore related mods, disable Hardship and CSA related cripple surrender options, TGM to test if the issue is damage or just getting shot.