Do I run "Lewd-Town-Adventures-0.9.1" or "Lewd-Town-Adventures-0.9.1-32"?
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Lewd-Town-Adventures-0.9.1 is the 64 bit client, and should probably be your default client as long as you are running a 64 bit operating system (more than likely you are).
The Lewd-Town-Adventures-0.9.1-32 is for those who are still using a 32 bit operating system (the last windows version I can recall having a 32 bit OS option was windows 7).
Either will run if you are on a 64 bit OS, but you may suffer some performance issues if using the 32 bit client.