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When the game updated to version 1.6+, many of these mods "broke" because they were tied to the specific code of the 1.5.97 executable. Even today, some essential mods have never been updated for newer versions, leading many players to use a "downgrade patcher" to revert their game to 1.5.97. Understanding USSEP Version 4.2.5b

Without USSEP, most serious mod lists consider Skyrim "broken." With it, the game runs as close to intended as possible.