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This is the first game I bought from gog that has actual patches released for it by the dev. Do I need (or can I even) download the games last patch and use it or does gog version come updated to the latest version?
As far as I know, every game on GOG comes fully patched.
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Bolch76: As far as I know, every game on GOG comes fully patched.
No version released via retail or Digitally legally by any1 or illegally for that matter includes the latest patch for Postal 2 Share the Pain...

The latest patch is the 1409X patch...

Get that here: http://www.megaupload.com/?d=PT5MY6FD