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(+1)

See if steam_api.dll is in NTT directory and that steam_appid.txt is around and has the NT's App ID inside (242680); see if NTT that you are launching is the one that Task Manager shows to be active (again, Steam specifics - it can decide to run a different app if it wants)

both of the first twi things named are present, task manager shows "can you reach the nuclear throne"
i also noticed that in the installation guide it says that it will rename the original executable as "nuclearhrone-(datetime)" but nothing happens to the original executable