The patch is typically unofficial/fan-made (e.g., from groups like Moonlight☆Otome or similar). You usually need the original Japanese game (purchased legally) to apply the patch.

Select > Browse local files to open the game's root directory. Apply the Patch : Unzip the downloaded patch file.

To survive and escape, they must complete a series of "Tasks." These tasks start simple but escalate quickly into psychological torture and sexual humiliation, forcing the characters—and the player—to question the nature of their relationship and how far they are willing to go to survive.

It sounds like you’re looking for a for the Room No. 9 English fan translation patch (for the Japanese BL/Yaoi visual novel Kuroko no Heya 9 or similar).