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Is plain win32 API supported on arm64/Windows? Is there a version of MSVC? Or does one use mingw?

Hello,

Win32 is supported with MSVC just fine.

You can also use MinGW with LLVM (not MinGW with GCC), available at: https://github.com/mstorsjo/llvm-mingw

Win32 is supported, and a supported tool chain comes with Visual Studio.