Update: For 3 days and 3000 visits my Pakistan traffic brought 10 conversions, when for a month it was hundreds. So I stopped advertising to them, but in turn I have started advertising EVERYWHERE else. Which surprisingly converts just fine. I could work on separating at least the regions in general, but I've lumped them for the moment and it seems fine. The landed did change a bit maybe more changed with their system, but for me Pakistan is out.
there are some posts above this one waiting moderation so keep an eye out for those.