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Oh, Aesprite is installing the extension in a different folder when I double click it, it installs it to AppData instead of the Steam directory, I've tried copy and pasting the folder it makes in AppData into the extensions folder under the Aesprite steam directory and I think it's working now, I just need to adjust scaling. Things are a little small for my monitor on 100% but 200% is too magnified. Thank you for the help!

Glad to know it's working. If you'd like to change font sizes and mess with proportions, just edit the theme.xml data, save and press F5 on Aseprite to reload the theme. ^^