I reinstalled it recently for a bit of a trip down memory lane and it ran with no major issues on Win7 x64 straight out of the box. Having the following in conf.ini works fine to get it running widescreen:
[window]
width=1920
height=1080
ColourBits=32
DepthBits=24
StencilBits=8
ChangeScreenRes=1
FullScreen=1
DrawIfNotFocused=0
EnableResize=0
EnableClose=1
SaveAspect=0
TrackIR 5 doesn't seem to like working in it but I haven't really dabbled in getting it to work.
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