I have downloaded and installed the above-mentioned patch. The game seems to run without issue full-screen, but when I attempt to use the -window option Arcanum crashes. It doesn't even get to the intro videos.
I have also attempted to use DXWnd, but that also causes Arcanum to crash instantly.
I'm currently running Windows 7 Ultimate, and have attempted various compatibility settings including running the game itself as administrator.
Can anyone offer assistance? I am a very sad bear.