The "language_setup.exe" don't works form me. I hace windows 10 x64 and use resolution of 1366x768 and don't can watch the window completely.
I select spanish, press 'tab', 'enter'... y nothing.
Only play in inglish :|

yes mate, watch my capture.

I solved the trouble, with "regedit" find "HKEY_LOCAL_MACHINE\SOFTWARE\WOW6432Node\Electronic Arts\spore" and locate "locale" double click and change the value "en-us" for your language for example: es-es


[Czech]
Value=cs-cz

[Danish]
Value=da-dk

[Dutch]
Value=nl-nl

[English (UK)]
Value=en-gb

[English (US)]
Value=en-us

[Finnish]
Value=fi-fi

[French]
Value=fr-fr

[German]
Value=de-de

[Hungarian]
Value=hu-hu

[Italian]
Value=it-it

[Norwegian]
Value=no-no

[Polish]
Value=pl-pl

[Portuguese]
Value=pt-pt

[Portuguese (Brazil)]
Value=pt-br

[Russian]
Value=ru-ru

[Spanish]
Value=es-es

[Swedish]
Value=sv-se

[Chinese (Taiwan)]
Value=zh-tw

[Japanese]
Value=ja-jp

[Korean]
Value=ko-kr

## partial translations below - do not add them to selector
#[Chinese]
#Value=zh-cn

#[Thai]
#Value=th-th

#[Greek]
#Value=el-gr

Есть ещё один вариант.

Открепить панель задач > перенести в другое место

Тогда появляется возможность нажать кнопку сохранения.

I had to rotate my screen in portrait mode to be able to see the full choice of languge and confirm mine

russian post above suggest hide windows panes/status bar panel or move to the side.

OP resolution not so big to increase Win UI size... And yet this is definitely what happen. This is how always bad UI scaling work in Windows. Do not set it higher than 125% whatever display(res/dpi) you have.

in exe properties there is options to change scaling.

Ofc admin run is mandatory with such language selectors tools. Whatever game install location and not related to concrete issues.