On Windows.. I get a US only bare bone Dvorak layout and few ways to remap the caps/ctrl keys. Messing with the registry is at best annoying on my gaming (only) PC but impossible on a corporate locked down desktop. Then I'm lucky if the corporate package repo comes with AutoHotkey that can remap keys in a very hacky way.
A lot of Windows 98 still shines through in the basic usability suite even on the newest versions of Windows. Even the on-screen keyboard on a (Android) phone is more fun than the HID mess in Windows.