EXCEPTION_ACCESS_VIOLATION UNREAL 5.3.2 PULLING HAIR OUT

With identical setup you mean the exact same project and the exact same hardware? Some users have reported problems with your model CPU.

Unreal causing constant BSOD - #17 by UMS

Recent high-end Intel CPUs are crashing Unreal Engine games | TechSpot Forums

Could easily just be the experimental nanite bugging out though.