Hey there!
We've been getting reports about crashes on launch, and in nearly all cases they seem related to having mods previously installed that are incompatible with the newest version of the game. If you run into any issues, please uninstall any mods (including bepinex itself!) and wait for those to be updated to the current version.
With that out of the way:
You can no longer get the Amalgamator with the Pitons and Beans binding.
Fixed an exception that could occur when loading user data for the leaderboards.
Fixed an error with the Rat King that could cause it to hang in place indefinitely.
Fixed the Parasite Wrench not being able to hit pitons.
Fixed bullets not correctly piercing tongues.
Fixed infinite flashlight recycling under some circumstances.
Fixed the "Grit" achievement not applying when completing Rotten Duct on Hard mode.
Fixed a bug that could cause the intro to Body Cavity to not seamlessly teleport the player under certain circumstances.
The Remains are no longer telefraggable.
Fixed employee ID not stopping turrets from shooting the player.
Fixed weird camera behavior when running up steep slopes.
Fixed Grapple Pitons not having the correct unlock sprite in the logbook.
Fixed the Mass being slow after revive.
Fixed the Abyss skip incorrectly transitioning into infested labs or hotzone after first visiting the Nest normally in a run.
Fixed not being able to easily save and exit in the post Hadal Diver safe area.
Fixed some breakable holds not shattering.