Nope matey, you should always grab the patch.
Eventually, you will start to spot things that just... arent... right.
The first few times you may not notice, or just think to yourself that something is a little odd. Then you may notice some items don't work quite how the descriptions state. Then you may find ways of getting two strongholds if you are a fighter/mage. Or possibly ways of getting experience over and over again by talking to the same person several times. You may even be able to pickpocket some people several times and get the same magical items.
Possibly.
To ensure a bug free game, you should always install the latest patch and Baldurdash fixpack AS SOON AS POSSIBLE after installing the game... it will save you serious pain if something goes 'wrong' in game.
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Warning: Powergamer
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