For most Tennis Elbow 4 patches (like the popular XKT Patch), follow these steps:
Based on community discussions on the Mana Games Forum , here is how to handle these types of files: File: Tennis.Elbow.4.zip ...
C:\Program Files (x86)\Steam\steamapps\common\Tennis Elbow 4\Mods (for Steam users). For most Tennis Elbow 4 patches (like the