jamiltaylor: The game is simply not compatible with Windows 10.
ConsulCaesar: I just checked it and I can confirm the game runs without issues on my Windows 10, version 1903 laptop (I haven't installed the optional 1909 update).
Okay. I have the latest Windows 10 install right now, and it won't work at all after all attempts. Windows Version 1909 OS Build 18363.535.
My Windows 7 install worked out of the box with zero changes required by me. Windows 7 is configured with 16GB and 8 CPU cores under VMWare.
Windows 10 has 128GB and 16 CPU cores. This is the actual hardware and not a VM.
I was reading how it might be a bug in the game related to threading and CPU cores.