When I try to run the game I get "The procedure entry point_ AIL-set_sample_pan@8 could not be located in the dynamic link library mss32.dll”

Does this mean I should download it again?

Hey buddy,

Try this link: http://www.mastertronic.com/supportfaq/anachronox

Specifically the third solution: "The game crashes with an error about MSS32.DLL"

Hope this helps.