Crash in packaged game in UE5.3

I am using the pulse physiology engine plugin in UE5.3. The app runs properly in PIE but when running a packaged game, there is a crash. We are running the simulation on a different thread.

I believe this is due to how our build references and tells unreal to load our dll

Can you take a look at and apply these changes in your copy and see if they help on your system

Can you also double check when you pulled the plugin?
I did upload an update to the plugin in Janurary that might also fix this issue