extract the spinal fantasy file then open the folder and click on this to boot up the game
then press z or enter while New Game is highlighted
controls are
z: interact
x: cancel/menu
arrow keys to move
oh dang, I don't know why this one is doing that while others aren't. you can try downloading the RPG Maker 2003 RTP from here and see if that works https://www.rpgmakerweb.com/run-time-package