The Unofficial Patch is a combination of the default Basic Patch which mostly fixes bugs only, and the optional Plus Patch, which is kind of a mod adding various tweaks and implementing a lot of unused content, including new quests, levels, weapons, items, characters, dialogue, graphics, models, sounds and original music! Included are also the optional Patch Extras which feature Player Mods, like shaders suites, as well as Developer Tools, like the Unofficial SDK to mod the game.
This thing is literally needed or else what you have is something that is quite buggy. GET THIIIIIIIS!!!! It fixes all of the game breaking bugs along with minor ones.