You need to have a model file made in MaD Lab (see description) to import them, after that press the Import button in the Library category and open the file.
The game provides autosaving, and single-button manual saving by pressing [C]. Keeping backups is your responsibility, just like with all data in life. Note that items that have been cut as well as temporary items e.g. projecitles can't be saved.
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It would be cool if there was a setting where if you punch the doll into a concuss, there would be stars spinning around the dolls head.
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Something that annoys me is that old links and ignores still appear even after the item is gone. I believe the game starts to lag when this happens so please try to fix this.
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Can you please add a search bar to the custom items list?
It would make looking up certain items easier. Thanks and great game BTW