What works in 2020 on Windows 10 Got this code from over here Frets on Fire on Sourceforge Got this a potential dependency for PIL (may or may not be necessary for pillow as well) Microsoft Visual C++ 2008 Redistributable Package (x64) I know it's sacrilege. Join me at your own risk Python2 Old ass version of Pillow pip install pillow==2.2.1 cython numpy PyGame PyOpenGL Run it! python FretsOnFire\src\FretsOnFire.py