If your game crashes at the beginning, right after you agree to start a cult, you can try replacing your Assembly-CSharp.dll with one of these ones.
These may also help if your game crashes at startup, during the splash screens.
This is fan made and NOT an official Cult of the Lamb site or product. All files are property of Massive Monster.
Windows, 64-bit, up to date as of Jan 31 2023 (ver 1.1.4.168)
SHA256: 3f5ab28bca764b54f81b13f11530004bf5923b17b08cdbf7e8ef9d24ab2c12da