I can't comment on Strawberry Perl, but my last client used Active State extensively on Windows and is certainly still doing it.

A year ago I considered switching to berrybrew, but have no news about that.

Regarding Windows licenses and VMs:

I recently switched back to Linux - far less headache, except hibernation - and am also lacking a win license for testing Perl apps cross platform now

But I seem to remember someone talking about cheap/gratis dev licenses from Microsoft.

Tho this might have been restricted to some containers and/or cloud products ... 🤔