-First you need to head to https://github.com/YeLikesss/SdWrapless/releases/tag/20241212 and then download sdWrapplessGUI.exe from there.
-After you do, you can open the file and then select the 3 dots on the top right to select start.exe from the main game and click the button with chinese...
Found a solution that works, you can download the binary from https://github.com/YeLikesss/SdWrapless and use it to unwrap the start.exe, you'll get a file in sdwrap_extract folder, and you can use it to play.
Remember to run it with locale emulator or it won't work.
I finished one route with...
you can use the start.exe from the anetomo game, and it'll give out an error but start.
I don't know if it'll play the whole way though I only went through the intro.