Look for the difficulty settings menu in the pause menu after loading a save file. I don't recommend messing with them much unless you're looking to change the gameplay up to make a second playthrough fresh. Maybe if the base game is a little too hard or easy, try adjusting the 'difficulty modifier' slider slightly. Also, if tutorials are annoying you, there's now a tickbox to disable them in the tutorials section of the pause menu.

• Fixed a bug causing the overhead healthbar dmg preview to often be wrong when a goblin had Lofty.
• Tweak to floating dmg/heal numbers in combat. Will no longer show overhealing, but will still show overkill dmg because it feels good.
• Caretakers will now be counted towards the Master Breeder achievement.
• Fixed a bug causing start-of-game herb placements to sometimes be inside buildings or in other unreachable places. Should retroactively destroy any herbs that spawned inside of buildings in your game on load.
• Fixed a bug forcing joystick controls during combat deployment.
• Added a sniffing-distance pointer to the first map by your start spot so new players are more likely not to miss it.
• If you've [spoiler]visited Rutabaga or claimed the castle[/spoiler] on a save game on your machine, when starting a new game you'll have the option to skip the intro scene. If you do skip the intro, you'll start in a random location.
• Fixed a bug causing speech bubbles or narrator scene text to overlap the pause menu.
• Cinematics will now pause when you pause.
• Difficulty settings menu now available in pause screen.
• if you have no goblins remaining (only possible with permadeath enabled currently) you are now free to fly forever as a bird. if you land near a fog goblin you should have an interaction prompt that will let you claim them. (Note: not sure how recoverable a game is at this point since playing as a solo goblin is maybe really hard.)
• There is now a tickbox in the tutorials menu that you can use to disable (or re-enable) tutorial pop-ups. This is a system-wide setting and not per-savegame. Tutorials will be automatically disabled when you start a new game and choose to skip the intro.
• Difficulty settings now automatically pop up when you start a new game (if you've [spoiler]reached the castle or Rutabaga[/spoiler] and so have access to intro-skipping).