Small Point:
Visual Studio is in no way related to WAMPServer or any of its component parts, other than it is used to compile and link those component i.e. Apache, MySQL, mariaDB, PHP.
So the fact that the "MSVC Runtimes" are so named and needed in order to run above said components is that MS provides those so that code compiled using its compiler (Visual Studio, for want of a better name) can be linked to use these shared functions rather than creating a MONOLITHIC executable with all the runtime libraries linked into the individual executables.
The reason there are now more of these than there were some years ago is that time moves on and so does the MS Compiler/Linker.
In all honesty, you probably dont need all these runtimes. BUT BECAUSE WAMPServer is so flexible whereby you could be running PHP5.6 one day and PHP8.2 the next, and to simplify the support required. We always ask that you install ALL the available versions of both 32 and 64 bit MSVC runtimes.
This we believe will reduce the lilelyhood of OTO spending 36 hours a day answering issues that do not need to happen due to someone switching from one version of a component to another.
NOTE: These runtimes could be used by multiple other programs that you use, the fact you have them installed means that they do not have to ask you to install them

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(Windows 10 Pro 64bit) (Wampserver 3.3.1 32bit & 64bit) Aestan Tray Menu 3.2.5.0
<Apache versions MULTIPE> <PHP versions MULTIPLE> <MySQL Versions MULTIPLE>
<MariaDB versions MULTIPLE> <phpMyAdmin versions MULTIPLE> <MySQL Workbench 8.0.23>Read The Manuals Apache --
MySQL --
PHP --
phpMyAdminGet your Apache/MySQL/mariaDB/PHP ADDONs here from the
WAMPServer alternate Repo-X-X-X-
Backup your databases regularly Here is How dont regret it later! Yes even when developing -X-X-X-