There is nothing that cannot be replaced in this folder.
Once you locate the patch folder in Windows Explorer, then rename it.
To locate your patch folder, select Update QuickBooks from the QuickBooks Help menu. To hide a patch from QuickBooks, rename the folder where it is located. When you do this QB no longer knows the patch has been downloaded and so it will stop prompting you to install it. One solution to an unwanted patch or to one that does not work is to hide the patch from QuickBooks. Patch won’t install or don’t want to install it Then close the dialog to save your changes.
These are often known as “R” releases, such as R3, R4, R5 and so on. QuickBooks by default is configured to automatically download patch releases.
To Repair the QuickBooks installation, see QuickBooks Support – How to Repair QuickBooks If you’re experiencing QuickBooks connectivity issues, issues with QuickBooks ability to talk to other applications, or QB won’t run (or similar issues), then Repairing the QB installation will often help. These issues can include instability, issues after applying a new release of your version year of QuickBooks, problems with QuickBooks’ ability to connect to external applications, and even the ability to install a patch release. Sometimes a QuickBooks installation causes issues and needs to be fixed.