[2021] Modded To Hell Unable To Fix

Originally posted by Geymer93: Error occurred at 2021-06-14_200900.
E:\Steam Setup\steamapps\common\Cities_Skylines\Cities.exe, run by *****.
87% memory in use.
8165 MB physical memory [986 MB free].
32741 MB paging file [91 MB free].
134217728 MB user address space [134193087 MB free].
Write to location 00000000 caused an access violation.

You're running out of available memory. As you already have a full 32 GB pagefile my recommendation is to reduce custom content or increase your RAM. Also make sure to shut down any other apps that might be using memory while the game runs.