I don't understand how you change the settings. Do I delete the words? Do I remove the #?  I would love to play this game but can't without changing the settings and I would greatly appreciate some help.

I've realised that this is a bit unclear! All lines beginning with # are comments, and don't do anything. To make a setting do something, delete the #.

So, for example, this line:

#  large_fonts

doesn't do anything. But if you change it to:

large_fonts

Thanks! it worked and I can now play!