Some content with Beth, and some extra images with Mia during "Get Past Granny." None of it is required for advancing the game. If you don't like that kind of content in general the game will play just fine without adding Gnomes.Hey, so I see what the gnome mod enables and it mentions if you see a cat it's working, what EXACTLY does it enable? I'd like to know if enabling that is worth it, as......well the implications are not exactly enticing for me.