This time he owes it to the State. Trump's normal approach is to litigate, lose, appeal, lose then fail to pay. Which leads to another round of going to court, where Trump litigates, loses, fails to pay. By this time, the person suing Trump has ran out of money, patience and settles.But you’ve forgotten one key factor: Trump doesn’t pay what he owes. Never has. In this case, he’ll stall and eventually declare bankruptcy to try to avoid paying anything. Considering his bad health, it’s probable he dies before paying a dime.
The State will not run out of time, money nor patience .
I've also read if he wants to appeal he will need to front up some cash towards the settlement, possible the full amount. Though I am not sure how that fits into the US legal civil system.