I know that this was probably mentioned in some of the above stuff but I'm not the best when it comes to understanding files and how they work or how to input code in to get something to work. The main issue I'm having is that I think everything is already set up, but the aspect ratio is really bad because every time I launch it I'm heavily zoomed into one part of the game and I don't know how to get it to the game is appropriately set to be able to play. So if there is any specific directions or anything visual to help that would be much appreciated.

Thanks for uploading this.

Regarding the "failing to persist video settings" I found in testing that the only setting that seems to not stick, is the fullscreen option. You can force this setting by editing the config.cfg file under "Documents\My Games\American McGee's Alice" and changing the value of seta r_fullscreen "0" to 1.

To restore EAX support configure the game with Creative ALchemy (don't forget to enable it in game as well).

Tested under Windows 8/10 - enjoy!

(side note)
For those who own Alice: Madness Returns, this remaster of the 2000 original is buried in the Origin games directory under the folder name "Alice1". However there is no included batch file like the one uploaded here, so either grab the alice.bat from here or create your own as noted in the description.