I think they're talking about the automatic updates with the desktop application, the patreon posts show up as updates to the main game for some reason.
mustardfoot
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A member registered Nov 08, 2016
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Hey, just letting you know the downloads don't work with the itch.io desktop app, which means people can't add the game to their library or have itch.io automatically update it. No install options are available. Based on what I'm seeing from other games that don't have this problem, you have to set platform types for the downloads, designating the pc zip as being able to run on windows and the mac zip as being able to run on mac - otherwise it won't be an option for install.
Here's a comparison to show what I mean: