cbingham: This is an issue specific to this game. I don't think general info is going to help here.
You seem to be determined not to be helped.
You don't know if its "specific to the game" until you try the options to fix problems like this. Those options are in fact specific to a whole range of titles from that era. Especially the Sierra games, these all had a lot of things in common regarding the hardware they were expecting to run on and the drivers they used. Lots of commonalities - hence these very very USEFUL suggestions for getting your game to work.
You navigate to that page (or I did anyway as you seem not to be interested in trying to solve your problem) from the Freddy Pharkas title - GOG has it set up to take you to technical help pages that are intended for specific games. This isn't the same set of tech info you would get if you started with, say, Witcher 3 looking for tech help.
If you won't try the proffered potential solutions, how do you know whether or not they will work?
If they DON'T work, THEN you can contact GOG Support and (unlike Steam) they will try to help you. But they will tell you to try EVERYTHING in the support articles I sent you first. Or I should say more accurately, everything RELEVANT.
So bite the bullet and try the offered solutions. Those are, in fact, specifically intended for Freddy Pharkas.
If you won't do that, and you won't try running it in ScummVM, as the other poster noted, I'm out. You can't help them as won't be helped.