Rio1981

I am brand new to custom content and mods.  I'm having a little trouble getting stuff to work.  I extracted the files to userdata/packages and I can see the files there but when I go to my game, everything is as it usually is.  I deleted my clinic and built a new one but it didn't help.  I created a whole new region and quit and restarted multiple times to no avail.  Any help would be very much appreciated!  Thanks!