Hi Chris,
:) I have a WIN 7 Dell Inspiron560. I recieved a fatal exception when trying to open Exile for the 1st time. Exception -oxc0000005 occured in ACWIN.EXE at EIP=oxo51529DO:program pointer is-7ACI version 2.41.350.
The Error said to report this to you so, if you have a way to fix it please email me. I hav'nt been on a computer since 2005, so I'm learning and remembering at the same time. I will update my info after this comment is finished.
Thanks, D999
Unfortunately that game is quite old and it was made with a very old version of AGS, so it may not be possible to trace what problem it is.
However, try running the game in legacy XP/9X/whatever mode (I think Win7 could do this) and see if it works.
In case you've never done this:
http://www.howtogeek.com/howto/windows-vista/using-windows-vista-compatibility-mode/