I installed the latest version for testing on latest Windows 10 version 1909. PDFCreator is version 4.0.4.
I cannot get PDFCreator to automatically print the document. It will print if I set the Print action to Select Printer Before Printing. If I select the Print action to Default Printer or a specific Windows printer (HP Laserjet Pro M478dn in my case) it does not print.
My profile is set with actions for Print the document and then email it to a preset email address. The email works fine but I cannot get the auto printing to work.
I checked the folders for Security settings. They were OK.