Game-play wise it feels different and much improved after the patch. I was complaining relentlessly before that whenever I took a jump hook in the paint that it would feel it was a guarantee basket, but not anymore! CPU post defenders seem to be more aware and contest the hook shots better leading to more misses and realistic % of hook shots going in. That was my biggest gripe and I am glad they have addressed this since I felt like it was a cheat knowing my hook shots would always go in pre-patch.
There seems to be more contact in the paint now and the defense in protecting the paint playing against the CPU offline is much improved for the opposing team.
Shooting percentage seems to be lower and at a more realistic % as well post-patch.
For me, the fun is back playing against the CPU now. I stopped playing NBA 2K17 for a bit because it was too easy to score but now I believe that the gameplay is altered for the better.

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