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I had the problem of jerky graphics regardless of the framerate. After trying a bunch of different things with no success I realized it was a similar problem to that of Jade Empire. I thought it was a long shot, but I tried the file from the Jade Empire fix with Children of the Nile and it's now smooth as butter.

All credit to fk. of the GOG forums. Hope this helps.
Nice find! I copied it into the CotN folder and now the game runs beautifully. Thanks!
Worked like a charm!

I didn't need to run `vcredist_x86.exe` installer. All I needed was the dll file and CotN runs fine now.
Sorry for the necro, but I just tried this and all it did was cause an error when I start up the game. Does anyone have any ideas?