GerryWright: ...It has not been updated to the EGA graphics. Does anyone know what might have gone wrong?
DeMignon: Go to the game's installation folder, where you've put the patch files in.
Run RENGAL.BAT
Then run u2cfg.exe
Choose "3" Save & Quit.
There should be a file named U2.CFG in your folder now.
Start the game with ULTIMA2.COM
I have successfully done all the steps up to the last one in your list, and verified that there is a file called u2cfg, as well as verifying that I have modified the save options to only save when I press Q. However, there is no file in my folder called ULTIMA2.COM. I have been starting the program with a shortcut provided in the original GOG version.