Tab "Run"

ePSXe

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The Run dialog is only useful at runtime, not before starting the emulator (as seen in the above screenshot). The possibilities in this menu are as follows :

Continue (game)  
During gameplay, you can always press Esc to pause the game. Using this option you're able to continue again.  
 
Reset  
The reset option completly restarts the game you're currently running. Keep in mind you'll loose all unsaved data when using this option !  
 
Save State  
One of the best features coming with ePSXe, completly described in Features > Save states ! With this option you're able to save the current progress of your game to your HD instead of saving to a regular memory card. Such a save state usually takes between 1 and 3 MB, and allows you to save ANYWHERE in the game. There're 5 slots available with this option, but you can also use the shortcuts to access this function.  
 
Load State  
Same as above, just that it loads the previous created save state.