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Are you running the game through the LoA Executable? If you aren't, it won't work because the OG DS1 Executable won't look for Expansion.dsres, where the backpack is. If you are playing with the LoA Executable, I can only guess another mod might change the backpack in some way that prevents it from spawning?

:EDIT-No other mods you say... well, Hopefully you have LoA!