Preview shows et al. after the 1st author. Setting says list all author names.

There are two places an output style can live.  The user space and the “installed styles” folder which on a windows machine is on the C: drive in the Program Files (x86) endnote X9/ STYLES folder.  If there is one with the same name in both places, Endnote is eclectic about which one it uses, usually defaulting to the C drive version.