Don't know if this will work for you, but I had luck with the following:

1. Setup
   • Windows 10 64-bit
   • Strawberry Perl 5.30 64-bit
   • Anaconda with Python 3.7 64-bit
2. Add Anaconda to System (not User) Path
   • PATH\TO\ANACONDA
   • PATH\TO\ANACONDA\Library\mingw-w64\bin
   • PATH\TO\ANACONDA\Library\usr\bin
   • PATH\TO\ANACONDA\Library\bin
   • PATH\TO\ANACONDA\Scripts
   • PATH\TO\ANACONDA\bin
   • PATH\TO\ANACONDA\condabin
3. Add System (not User) Environment Variable PYTHONHOME=PATH\TO\ANACONDA
4. Run cpanm -n --interactive Inline::Python
   • The Makefile.PL seems to have issues finding proper Python info in standard install, so need to do it interactively
   • Also want to avoid testing since that relies on Proc::ProcessTable, which isn't available for Windows
   • For the python executable path, enter PATH\TO\ANACONDA\python.exe
   • For the extra libraries, select default (default = None)
   • For the python library, enter PATH\TO\ANACONDA\libs\python37.lib (will change depending on Python version you are using)
   • For the python include, enter PATH\TO\ANACONDA\include
5. Open \PATH\TO\STRAWBERRY_PERL\perl\site\lib\Inline.pm
   • Windows seems to have write permission issues, so we fix that here
   • Find the line with "if ($bin = $FindBin::Bin and"
   • Replace it with the following lines:

                $bin = $FindBin::Bin;
                chmod 0755, $bin;
                chmod 0755, $cwd;
                if (defined $bin and $bin and
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I haven't had time to check this out with other versions or distributions of Perl/Python, but hopefully this will at least give a starting point. Good luck!