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This patch (for v1.02) is for the German retail version of the game only, and allows you to activate the gore/blood effects that are in the standard North American version. Once unlocked it gives the enemies acces over the nailgun and limbs come flying off when using grenades or rocketlauncher. It also makes the menus in English although the in-game speech remains in German.
Just run the file, it'll find the correct game directory by itself. You have to enable blood in the game menu after patching.
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