I have patched, trust me, if I'm playing anything pre-Win XP my first action is to patch that bastard up.
However, I've never experienced any background programs causing a lock-up for any other software, it would strike me as odd if W&W was any more touchy. Additionally, I never let anything more run in the background than is absolutely necessary, I like my task bar and my Process Explorer uncluttered.
Don't bad virtual memory settings generally result in a crash rather than a freeze?
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