Seems like the MonoBleedingEdge file got deleted at some point so that fixed it.
I tried both of those suggestions and its still giving me the same error. I got the game to open when I had only about 10 mods installed as a test, so I'm starting to think I should just reinstall and cut it down a bit.
Error message is on startup of EscapeFromTarkov.exe via the launcher.
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