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It DOES work for me.
I'm using this on several computers Vista 32, Win7 x64, XP... and it does work with A-Patch. You lose the big icon, but you still have the menu. All functions are still available.
Actually in only one Vista x64 installation (already wiped) I somehow managed to lose the Plus! menu item. I don't know if A-Patch had something to do with it, but it hasn't happened in any of the other PCs. I couldn't do anything to get the Plus! menu to appear. Tried reinstalling everything (NOT using A-Patch these times), erasing all registry entries and still, after reinstalling the Plus! menu wouldn't appear. Weird.
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