If you have other GPU drivers then dell, you can try to set them back.

Here is you drivers from dell:

NVIDIA Graphics Driver: https://www.dell.com/support/home/en-us/drivers/driversdetails?driverid=cp1wm&oscode=wt64a&productcode=alienware-17-laptop 

Intel HID Event Filter Driver: https://www.dell.com/support/home/en-us/drivers/driversdetails?driverid=33cdy&oscode=wt64a&productcode=alienware-17-laptop 

@ThomasAAT  Everything is up to date, bios, drivers you name it. I even tried the dell specific gpu driver on the support site. 
see the last link of my post for the solutions I have tried thus far.

link : https://www.nvidia.com/en-us/geforce/forums/geforce-graphics-cards/5/419231/span-classhighlightalienwarespan-17-r4-bsod-videos/

Okay.

Some more options to try: https://docs.microsoft.com/en-us/windows-hardware/drivers/debugger/bug-check-0x119---video-scheduler-internal-error 

Run DDU  after booting Windows into Safe Mode  to completely remove any trace of the old GPU drivers. Use Clean and Restart. Then download fresh GPU drivers from the manufacturer's website.

If that does not help I would think it's a faulty GPU.

I'm experiencing the same issue as described above. Alienware 17 R2 here.