Some older Lua mods may require manual updates to match the new executable structure. Controller Desync:

While not a "rebalance" patch like v1.7.5, this version fine-tuned specific interactions: Item Synergies:

If you are trying to "create a report" for a technical issue (like a crash log) in this version:

So launch the game. Select your Tainted character. Listen to that haunting Mudeth soundtrack. And remember: Every time you die to a spider on the first floor, just blame the patch.