What is this? Battle of the tards?
A Geforce4 MX 440 would get totally raped by FEAR, dont even bother trying to run it. The MX series is the crapo version of the gefore 4's, MAYBE a TI series could run it on low.
My suggestion would be to get at least a 9600xt if you really want to play it, that should get it running decently on medium at 800x600 which is all right.
Realistly I'd just bypass FEAR since it's more about the graphics than the gameplay.
Plus if your video card is a 4 mmx I have doubt about your other specs, 256 ram maybe and a 1.8 ghz processor or something would be my guess.
My friend ran fear with about 30-40 fps on medium at 800x600 with a 9600 pro, Athlon 2400+ and 1 gig of ram.
Short answer: Don't worry about playing fear until you can do a complete overhaul, it's not that great of a game if you can't jack the graphics up.
If you want a game that is really scary (moreso than fear) and will run on your computer, then get System shock 2.