Eqgame.exe shouldn't be on your desktop but in the directory where you installed everquest. What should be on your desktop is the shortcut to eqgame.exe.
(right click eqgame.exe from everquest directory, then drag it to the desktop, release the mouse button, and click on create shortcut, after that, follow the howto instructions to see how to add the 'patchme' in that new shortcut).
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