Without that fan patch, I wasn't able to play at all. But further into the game, it started crashing every 10 - 20 minutes. Think the particular Radeon card I had at the time was poor compatibility. nVidia users might have had more luck.
A reason I might buy a console used is because certain titles, like Nier Automata, were poorly ported to PC. I love that game, but the Steam version crashed a lot for me.