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I don't have the GOG version since I already own the game on disc, so can someone please give me an exact size of the executable file?
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bigbilly50: (And just to clarify, the game will not launch in ANY fashion with the widescreen mod)
I had the same problem. The widescreen mod would work - sometimes - like 1 time out of 10. The solution was to move the game out of the Program files (x86).
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Darklord666: Have you set your monitors refresh rate to 60 FPS?

That is highly recommended, see above posts.
Yes, I did. I don't have the first game anymore. After so many tries to fix this I was extremely annoyed and used GOG's refund service for the first time.
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ecokumm: Yep, this is an issue that's been plaguing the game ever since the sequel came out. As stated above, it has something to do with both versions of the engine not being able to play along together. Because of reasons.

BUT! There is hope! I actually found a solution that worked for me:

1) Run The Suffering. Play for a bit, then exit.

2) Run Ties That Bind. Play for a bit, then exit.

At this point, The Suffering should be having the missing textures issue

3) Run REGEDIT

4) Go to HKEY_LOCAL_MACHINE > SOFTWARE > Wow6432Node > Surreal > Riot Engine

5) Delete "SettingsDX105"

6) If you attempt to run The Suffering now you'll get an error, so you'll want to run suffering.exe with the -setup modifier

You'll have to configure the graphics in the launcher again as you did the first time, but both games should run OK now. God knows why. I just tried this in the GOG versions, I went back and forth between both games several times, and they're running without any issue.

I'm on Windows 10 Pro with all the latest patches.

Credit to cornoratu @ fileforums dot com
Thank you so much, this worked for me, god bless you.
Hope this helps and hope its not dead. But I did the following and seems to work.

Go into the folder the game is installed, Right click SUFFERING.exe the one with the Riot engine icon. Go to Properties, Compatibility Tab, click on set compatibility to Windows XP (service Pack 3) click apply and ok. Run the game normally. Starts working with models and textures. It was a simple fix apparently no need for messing with registry.

Hope this helps anyone and you can enjoy the game.