Paranoiascape is a first-person surrealist horror pinball game. If that sounds insane, it is! I don't want to say much more because it really is something that should be experienced, not described, but I will note that the game does have an option for an infinite number of pinballs - I recommend setting this. You still have a health bar and can still die, but this option reduces some of the extra frustration that dropping the ball can create.

As far as the patch goes, before each level there's a screen offering some tips for the level - this translates that. There are also some voice clips in 3-2 where Screaming Mad George himself gives you feedback -- it turns out that he recorded English versions of these and included them on the disk, and I was able to swap the calls to the Japanese clips with calls to the English clips!

Please note that this patch is not permitted for hosting on romhacking.net.