I downloaded the patch and replaced the the file in the game folder, but it still does NOT offer and uncensored option in the preferences.
Update: Ignore that. I had closed and opened the game and it still did not offer me and uncensored option. Then I remembered doing this previously for another game and they instructed you to exit the game and the itch.io windows app. I did that and now the uncensored option appeared in the preferences. I hope that this might be helpful to others.