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It's like editing the currently loaded cam file embedded in Exoddus.exe process while playing the game (necrum mines) using cheat engine, then go to current cam.
Edit it by change the values of different addresses.
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Its far more complicated that that, it overwrites the function address of various things to redirect/hook it and hooks the directx api's to take control over the game.
You don't add your own code to the process with cheat engine, its basically just a memory editor.