The compatibility mode is the fix for Windows 10 users. The game will run seemingly fine without it but you won't generally be able to load saved games unless you run it in Windows 7 compatibility mode. It's generally a good idea to run the exe file as moderator as well.
I've not had a single crash since fixing this part. I initially had issues because I'd set it to Windows XP compatibility for some reason but that won't fix anything. Old habits die hard I guess.
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