Search the forum, I think there was once a compiled version availlable. But who knows if that is still available.... You will have to try.
The patch doesn't apply to current code anymore (actually for years now).
So you might have to acceptthat there are only screenshots
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The latest version is in the "RE: Exult 3D" thread. If I remember correctly, it has some issues with menu navigation so you might want to read more of the thread.
I just tried the last version to look at waterfall animations that I am working on for The Savage Empire Remake. Camera movement is very touchy and fast, and Exult 3d would display only some of my 52x28 pixel "walls" "properly". However, I wish that more could be done with Exult 3d. From what I was able to see, the possible ramifications have the potential to be extraordinary! Though I can only imagine the hurdles that would need to be jumped in order to make it fully playable.
I re-uploaded it before I posted the link. 6060 is the last revision that can be easily patched with Exult 3D. The Exult 3D code needs modified because of Marzo's OpenGL changes.