When the community says an EXE has been "patched," they mean one of three things:
Major mods like NaturalVision Evolved , LSPDFR , or Script Hook V rely on specific EXE versions. When Rockstar updates GTA V (e.g., from version 1.0.xx to 1.0.xx), mods break. Users seek a "patched" (downgraded or modded) EXE to restore compatibility.
Let’s address the search intent. You want to play the game despite your EXE being patched. Here are the only working pathways right now.