prerrrrret That sounds like your game isn't working correctly in a way that the Smooth Patch wouldn't necessarily fix. So the fact that you can't play properly isn't indicative that the Smooth Patch or Settings Setter isn't working.
Does this happen in a new save in Sunset Valley? If so, does it happen in a new save in SV with no mods or custom content present? If not, what world are you currently playing in, and did the game initially work before breaking, or was this always a problem without the Smooth Patch?
Please also provide a dxdiag, for reference. Click Windows key-R, enter dxdiag in the run box, wait for the scan to finish, click "Save all information," and save the file to your desktop. From there, you can attach it to a reply using the paper clip (Attachment) icon included with the other formatting buttons.