[quote]For one I don't see a game tab in configuration.[quote]
This wiki page has details on how to edit an existing Game Profile... http://isboxer.com/wiki/Game_Profile

You can just set your Characters to not use the "No Patch" profile for STO. In the top left pane under Characters, select each one and then in the Game Profile box instead of "Star Trek Online No Patch" set it to "Star Trek Online Default Profile"