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I know the game info says it's compatible with Windows 8, but I've read some posts of people having problems.

Thanks for any feedback.
I've found that in general Win8 does not seem to work well with older games. I had trouble with this game, Arcanum, Sanitarium and the Thief series. They all lagged and I couldn't figure out why. I formatted and installed Win7 on the exact same PC and all those games then ran fine.
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Graal: I've found that in general Win8 does not seem to work well with older games. I had trouble with this game, Arcanum, Sanitarium and the Thief series. They all lagged and I couldn't figure out why. I formatted and installed Win7 on the exact same PC and all those games then ran fine.
Thanks for the info.
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Graal: I've found that in general Win8 does not seem to work well with older games. I had trouble with this game, Arcanum, Sanitarium and the Thief series. They all lagged and I couldn't figure out why. I formatted and installed Win7 on the exact same PC and all those games then ran fine.
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trustymutsi: Thanks for the info.
Can't vouch for PST on windows 8.

But sanitarium is working 100% on windows 8.1 for me.

Also on Thief you can get a modern patch on their homepage