Supply cmd-line parameters to QEMU via LibVirt. To emulate other PCI device ID to the guest:

  <qemu:commandline>
    <qemu:arg value='-set'/>
    <qemu:arg value='device.hostdev0.x-pci-device-id=7089'/>
  </qemu:commandline>

Current working config with Nvidia-Fix:

<domain type='kvm'>
  <name>Windows10</name>
  <uuid>c800adb6-3085-4c2c-8898-3e87d4ac5ef9</uuid>
  <title>Gaming-VM</title>
  <memory unit='KiB'>8192000</memory>
  <currentMemory unit='KiB'>8192000</currentMemory>
  <memoryBacking>
    <hugepages/>
  </memoryBacking>
  <vcpu placement='static'>4</vcpu>
  <os>
    <type arch='x86_64' machine='pc-i440fx-yakkety'>hvm</type>
    <loader readonly='yes' type='pflash'>/usr/share/OVMF/OVMF_CODE.fd</loader>
    <nvram>/var/lib/libvirt/qemu/nvram/Windows10_VARS.fd</nvram>
  </os>
  <features>
    <acpi/>
    <apic/>
    <hyperv>
      <relaxed state='on'/>
      <vapic state='on'/>
      <spinlocks state='on' retries='8191'/>
      <vendor_id state='on' value='1234567890ab'/>
    </hyperv>
    <kvm>
      <hidden state='on'/>
    </kvm>
  </features>
  <cpu mode='host-passthrough'>
    <topology sockets='1' cores='4' threads='1'/>
  </cpu>
  <clock offset='localtime'>
    <timer name='rtc' tickpolicy='catchup'/>
    <timer name='pit' tickpolicy='delay'/>
    <timer name='hpet' present='no'/>
    <timer name='kvmclock' present='yes'/>
    <timer name='hypervclock' present='yes'/>
  </clock>
  <on_poweroff>destroy</on_poweroff>
  <on_reboot>restart</on_reboot>
  <on_crash>restart</on_crash>
  <pm>
    <suspend-to-mem enabled='no'/>
    <suspend-to-disk enabled='no'/>
  </pm>
  <devices>
    <emulator>/usr/bin/qemu-system-x86_64</emulator>
    <disk type='file' device='disk'>
      <driver name='qemu' type='qcow2'/>
      <source file='/mnt/media/VirtualBox/kvm/Windows10-snapshot.img'/>
      <target dev='sda' bus='scsi'/>
      <boot order='1'/>
      <address type='drive' controller='0' bus='0' target='0' unit='0'/>
    </disk>
    <disk type='file' device='disk'>
      <driver name='qemu' type='qcow2'/>
      <source file='/mnt/media/VirtualBox/kvm/Gaming-Storage.qcow2'/>
      <target dev='sdb' bus='scsi'/>
      <address type='drive' controller='0' bus='0' target='0' unit='1'/>
    </disk>
    <disk type='file' device='cdrom'>
      <driver name='qemu' type='raw'/>
      <target dev='sdc' bus='scsi'/>
      <readonly/>
      <address type='drive' controller='0' bus='0' target='0' unit='2'/>
    </disk>
    <controller type='usb' index='0' model='ich9-ehci1'>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x05' function='0x7'/>
    </controller>
    <controller type='usb' index='0' model='ich9-uhci1'>
      <master startport='0'/>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x05' function='0x0' multifunction='on'/>
    </controller>
    <controller type='usb' index='0' model='ich9-uhci2'>
      <master startport='2'/>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x05' function='0x1'/>
    </controller>
    <controller type='usb' index='0' model='ich9-uhci3'>
      <master startport='4'/>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x05' function='0x2'/>
    </controller>
    <controller type='scsi' index='0' model='virtio-scsi'>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x04' function='0x0'/>
    </controller>
    <controller type='pci' index='0' model='pci-root'/>
    <interface type='bridge'>
      <mac address='52:54:00:cc:8a:5c'/>
      <source bridge='br1'/>
      <model type='virtio'/>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x03' function='0x0'/>
    </interface>
    <input type='mouse' bus='ps2'/>
    <input type='keyboard' bus='ps2'/>
    <sound model='ich9'>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x02' function='0x0'/>
    </sound>
    <hostdev mode='subsystem' type='pci' managed='yes'>
      <source>
        <address domain='0x0000' bus='0x01' slot='0x00' function='0x0'/>
      </source>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x07' function='0x0'/>
    </hostdev>
    <hostdev mode='subsystem' type='pci' managed='yes'>
      <source>
        <address domain='0x0000' bus='0x01' slot='0x00' function='0x1'/>
      </source>
      <address type='pci' domain='0x0000' bus='0x00' slot='0x08' function='0x0'/>
    </hostdev>
    <memballoon model='none'/>
  </devices>
</domain>

Setting vfio module to “catch” GPU on boot. Dont forget to blacklist nvidia* drivers.

/etc/modprobe.d/vfio.conf:

 options vfio-pci ids=10de:1b81,10de:10f0 disable_vga=1

Lot of info on https://rokups.github.io/#!pages/gaming-vm-performance.md https://www.redhat.com/archives/vfio-users/2017-February/msg00010.html