Crash in packaged game in UE5.3

Hi,
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

https://gitlab.kitware.com/physiology/unreal/-/commit/5289b4a66e4868a803f7fd80c12393d07c59043c

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