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If a speedrunner uses a patch it means they change the game and manipulate RNG, including making sure certain weapons come out of the box on the first couple hits making sure parts and perks spawn in specific locations. If you have not installed any mods you are on non patched, if you installed any mods with something in the file name saying "patched" or "patch" and put in your game then you are probably on patched.

Is Xbox automatically unpatched?

@Dozalito any console games (as long as there is no mod menu, etc.) are non-patched