I haven't been able to run this "sim" in quite some time. It never worked right under Windows 7, and in Windows 10 the game speed was crazy and the full-screen never looked right. Worked great in my Windows 95 and Windows 98 days, and I had a lot of fun with it so I still kept my local copy installed. Well I finally was able to find a good fix:

https://github.com/narzoul/DDrawCompat/releases/tag/v0.4.0

Go there, and extract the ddraw.dll file from the zip to where you have your game installed. I then created a config file called DDrawCompat.ini in the game directory along side the ddraw.dll file and added these lines:

FpsLimiter = msgloop(30)
FullscreenMode = exclusive

I also set my Windows Desktop res to 800x600 before launching, and set the compatibility mode to Win 98 and 8-bit (256 color). I can play her again at long last!

How did you install it? The setup.exe won't even run on 10 or 11

The installer ran on my Win10 gaming machine. When I get back to my computer I'll re-check what steps I took to get it to run.

Ah never mind. I forgot that I installed this on a Win95 virtual machine - then just ran it in Win10.