post your game.log

read this...
https://www.technipages.com/disable-nvi ... experience

.... because every time you download a new version, you have to remove the previous versions

make sure your GPU drivers are at the latest version and you have disabled geforce expierence for the game (not compatible)

you have Mod only for Ets2 1.38... like Realistic Graphics Mod v5.1 (by Frkn64)
it does not work on version 1.37

How is your hardware?
read this post...
https://www.promods.net/viewtopic.php?f=28&t=33284

for Multiplayer follows this tutorial..
https://truckersmp.com/knowledge-base/article/614

For single player this
https://www.promods.net/viewtopic.php?f=2&t=3852

no hay fecha exacta ... cuando esté lista saldrá.
Los desarrolladores están trabajando duro para que esto suceda pronto ...

Estás hablando de multijugador o individual?
si el modo multijugador no, no se pueden usar otras mod

I don't see the Middle East pack!
please put the files "promods-me-assets-v246.scs" and "promods-me-defmap-v246.scs" in the folder "Mod"
...and activate them in the Mod Manager