The traits/items/specializations are fully separate from Ralphs, Ralphs just gives the unique hybrid races and some additional race alterations (along with the option for difficulty tweaks). If you were playing with Ralphs beforehand, it wouldn't automatically save your changes to expansionsettings.gd, so any changes (like enabling ralphs via the line above) would need to be readded. We're trying to come up with a solution to having to re-add all of your tweaks/changes/customizations in expansionsettings but haven't gotten there yet. You can enable it now by setting it to true though, yes.