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The save games are compatible.
If you are not having problems then you don't need to use the patch.
I use the patch myself. Here are some problems that I know.
Without the patch you need to be careful when moving items between character inside town. To be safe make sure you open the characters inventory and see the item before leaving them in the inn. I gues this is only a problem if you leave somebody behind in the inn.
Also you need to not change the active character in the building in the towns when they are being spoken to.
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