Region ID recognition works like a charm now if using the pixel hitbox method. The standard 48x48 way keeps working with a massive delay or moving around on the Region ID's.
Only non-Visustella plugin-incompatibility I found within is with the Overpass plugin https://en.plugin-mz.fungamemake.com/archives/9397 which makes making bridges quite easy.
Characters just stop at the the Region ID assigned as the Bridge/Overpass entrance/exit, so they never enter the bridge.
Even Touch also does not seem to work properly, I have event that run towards to start combat, they just bump into the player and start twitching up and down. Fiddling with the settings has not produced a good outcome. If you can give some recommended setting to test, would be great!