In previous versions like 0.15 i had problems missing images, then i was opening the game doing double clic in the icon of the QSP aplication in the main folder. I guess that doing this you "force" to open the game in your favourite QSP player.
Now to open the game first i open the folder named QspPlayer included in the main folder and next the qspgui included in this one. Doing this, the first time you see the default language is russian, to change it press Alt+L and select your favourite. Next go to the upper left and press the Quest menu> Open game and finally select the Qsp archive you have in the main folder.
Don`t know if doing this will work for you but worked for me and its easy to try.
Edit: Now i was trying to do a new game and ... i can`t reach the orgasm while masturbating either.