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@Katecreme It's not fully functional, and the issues are not the same for everyone, probably because of different devices.
i to have problems with automatic, but sequential and h-pattern works flawless. but for automatic, you can turn the mod in-game of, as this will only disable the transmission, steering and ffb still works and configurated buttons through the mod also.... and i think since the 'part' from the update that broke the mod, is the change of transmission of vehicles. so for compatability and stability it might be best to play with the mod but uncheck the checkbox in the mod-menu in-game. (braking changes to brake/reverse like in default game) but for automatic gearshifting this might be temporary solution.

There is currently a recompiled version over on github, with the steering fixed, (still buggy with other stuff) but if you don't want to downgrade your game, this is your best bet.
Topic over on github:
https://github.com/ikt32/GTAVManualTransmission/issues/148

Download link.
https://drive.google.com/file/d/13si64L0UjhO_uqva0Hvc2htYfWrAp7S3/view

Can't seem to edit, reply's, so here in short, if you manually set the varietymutlipliers in the settings.xml, i advice you to try this modded gameconfig but the standard gta base one.

Thx for updating , a must mod to have when modding gta V, for anyone who still has crashes (on startup/loading/ingame) that isn't related to dinput8 ,menyoo or other mods like mentioned above, i found that if like me you set the pedvarietymultiplier and vehiclevarietymultiplier in the settings.xml , for this gameconfig i selected the 1.5 traffic/ped settings, like i did with previous versions. but now it crashed, so i changed the gameconfig to the standard gta base, knowing my config in settings.xml is at 1.5 for both. and now it doesn't crash anymore......(yet) , hope this helps some people, and also like mentioned by demonreaper47, after an game update , besided the scripthook that needs to be updated, also the update.rpf archive is renewed and needs to be 'remodded' for the current mods you use, so i highly recommend , when having gta 5 in a 'good' playable state (modded that is), just backup the original .exes (GTAV.exe and GTAVLauncher.exe) and your currently used update.rpf (in the mods folders), so after an update you can just recopy these back to your gta folder and you should be able to play but not with the newest version, until you reupdate the newer update.rpf.

Nice mod but i use my own reshade preset, it gave best results. only thing that bothers me is,
why adding more chemtrails? We know they implement it in videogames just to 'normalize' those dense filled with metal, (unhealthy for us), white (chem)-trail. but i see you added a folder named v-clouds, didn't put much attention to it further, but after only a couple of minutes ingame, i instantly noticed the increased spraying, (lol) ok just like in RL, but that all aside, great mod.