So, what are some of the changes this mod makes? According to a post on the Insane Difficulty forum, this only works on the Steam version, and since I have my original discs still, I'd be buying that Steam version just for the mod. I'm sure there are a lot of changes, so let me ask about two things that I'd most like to see in an FF7 mod.
First off, character differences. In the base game, the characters are functionally identical except for their limit breaks and a few weapons. Given that the only character with limit breaks that aren't simple "Hit the enemy REALLY hard." isn't around for the whole game, it made most of the cast feel too identical, with only really Cait Sith and Vincent to stand out. And as your limit break level got higher and it took longer to charge the gauge, those differences became rarer.
Second, character customization. The vast majority of useful materia is magic materia, especially early on. There's nothing you can really do to build a physical-oriented character for most of the game, except to avoid equipping too much magic-materia, but most of the alternatives aren't that big of a deal either, until you reach the end of the game. There is no Stength Up Materia, for example. Magic ends up being something that every character uses, with attacks being almost completely relegated to "What you do when you don't want to spend MP". While that's not a bad system, it would be nice to have some more interesting physical attacks. Perhaps by making the characters more distinctive in ways other than their limit breaks.