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Pre-purchase and get early access to in-game items which are otherwise obtainable via story progression:
Pixelizer Weapon
Carbonox Armor set
So yes, it's just early access to those items, you can still get them in the game normally.
And if I'm not mistaken the armour is just a cosmetic (no bonus effect, you get that through story progression) and the weapon is obtainable in NG+ for 1 bolt (basically free) so preorder allows you to use it immediately in your first playthrough.