Check you've done these steps:
Step 1 - Installation
Install Everquest Titanium to a fresh directory. This directory must be separate from any live Everquest installs and dedicated to EQEmulator.
DO NOT PATCH EVERQUEST. If you patch your Titanium install you will need to delete it and start over.
Step 3 - File Deletions
The following files must be renamed or removed from the Everquest Titanium directory. The best thing to do would be to create a "Backups" folder and move them to this folder.
arena.eqg
arena_EnvironmentEmitters.txt
lavastorm.eqg
nektulos.eqg
Nektulos_EnvironmentEmitters.txt
Step 4 - Game Files
In order to play on Project 1999 servers you will need the required additional files. Download and extract the Project 1999 Files
(V33) to your EQ Titanium Directory.
Make sure you're merging the folders/writing over the existing files named the same. For your dsetup.dll try DSETUP.dll
before you extract the zip.
Hope that helps
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In other words....try re-patching again...but do a fresh download, delete the old one.