Set the compatibility to windows xp, service pack 3, then select "run in 640 x 480 screen resolution" . You can do this by selecting the change settings for all users button.

Modifying sfc.ini was enough to get the game running on Windows 11; setting async to 0 kept it from crashing. No compatibility mode necessary.

If you are still having trouble, make sure to run the video settings panel before launching the game to ensure that your primary display device has been selected. (In Galaxy, right-click the game, select additional executable, and then select Video Settings; otherwise, run config.exe in the game's root folder.)