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So, I guess, maybe keep trying to start the game. Because after the 3rd crash, I put cancel on the crash reporting, then the game started fine. Just tried it again and it started fine again without issue. So, I guess it's just a temporary issue.
https://www.nexusmods.com/silenthill2/mods/24?tab=description
Silent Hill 2 2024 Ultra Plus v2.4.0, the 2 option on files
NO MORE Unhandled Exception: EXCEPTION_ACCESS_VIOLATION reading address 0x0000000000000020
This worked for me. Thanks!
Properties >>> Installed Files
Click "Verify Integrity of Game Files"
wait for it to complete
Once it is done, it should work again.
This worked for me, although as others have mentioned it did compile the shaders on start up and took awhile longer than usual. Seemed to run fine after that though. No complicated stuff needed.