1. Select the "3D Voronoi Studio" button from the (UTILITIES tab -> PERCEPTINO Panel) or from (SOLID tab -> CREATE Panel -> menu) 
2. Select a body to fracture in the "General" group or change the settings of the proxy box in the "Proxy" group 
3. Create a list of distributors and change their settings using the "Distributors" tab to create Voronoi sites (Voronoi points)
4. Select the desired main outputs (Fragments and Gap Fillers) and change their settings using the "Fragments" tab
5. Select the desired extra outputs (Sweeps and Voronoi Sites) and change their settings using the "Extra Outputs" tab
6. Select the desired appearances for fragments gap fillers, and sweeps using the "Appearances" tab
7. Click on the "Preview" button (eye button) or press the "Space" key to preview the output
8. Click on the "Build" button to make the final fractured body (Unavailable in Trial Version) 

Install:

The installer that ran when you downloaded this app/plug-in from Autodesk App Store has already installed the app/plug-in.

OR, simply double-click the MSI to install the app.

Uninstall:

You can unload the add-in without uninstalling it by clicking the "Stop" button when the add-in is selected in the list box on the "Add-Ins" tab of the "Scripts and Add-Ins" dialog.

Unchecking "Run on Startup" causes the add-in not to be loaded in future sessions of Autodesk Fusion.

To uninstall this plug-in, exit the Autodesk product if you are currently running it, simply rerun the installer, and select the "Uninstall" button.

OR, you can uninstall it from 'Control Panel\Programs\Programs and Features' (Windows 10/11), just as you would uninstall any other application from your system.