The 60 FPS mod may cause the game to crash during Laurence's cutscene in the DLC unless temporarily disabled. Character Creation:

So, why should you consider using V1.09 DLC mods and the CUSA00900 repack? Here are a few benefits:

Because it is the final version, the vast majority of community mods, randomizers, and 60 FPS patches are built specifically to target the v1.09 file structure. The Components of the Ultimate Bloodborne Setup

Mods for Bloodborne range from simple tweaks and fixes to comprehensive overhauls that add new content, improve performance, or enhance graphics. The game's community has developed these mods to breathe new life into the game, address certain issues, or simply to provide a more personalized experience.

(e.g., limited bandwidth), verify its hash against Redump or No-Intro datasets.