Your vid_conwidth/vid_conheight and resolution ratios are drastically mismatched, which results in distorted geometry, your conres is 640*480 which is 4:3, and your resolution is 1280*800 which is 16:10. Change vid_conheight to 400
In this particular case, the fix applies (the player has widescreen monitor). However this does NOT apply to all situations, and since people can understand it wrong, more information has to be added.
CRT monitors:Users normally strecth the resolution to fill all the screen area, hence the picture is always 4:3 on CRT monitors, regardless of the situation. With CRT monitors players do not need to make any additional changes, unless they intentionally do not stretch the resolution to fill the whole screen area. Screenshots, however, are affected unless your picture viewer doesn't scale the picture to fill the screen. This applies to QW, your desktop image will have broken geometry and other games might or might not be affected.
With TFT monitors it depends on the scaling mode: (examples concern 16:10 monitors and default 4:3 conwidth/height)
1:1 pixel mapping (do not scale): depending on the resolution, each pixel always fills one pixel of the screen, resulting in wrong geometry if not corrected by conwidth/height settings. 4:3 resolutions require no changes but 16:10 resolutions require geometry correction.
Aspect ratio scaling (fill the screen while keeping aspect):4:3 resolutions always keep 4:3 scale, and this will not break geometry. 16:10 resolutions on the other hand will always break geometry and require correction.
Full scaling (stretch to fill the screen):Will always break the geometry, regardless of the resolution, since it fills the whole screen which is 16:10.