I'm not sure what you think happens if random programs are lying around - they affect nothing except waste a miniscule amount of space. I cleaned up the context menu once, probably the autostart once upon a time, search indexer is off and use Everything instead, antivirus is off ...
Of course I'm still on Windows 10 and will be for the foreseeable future.
Of course I'm still on Windows 10 and will be for the foreseeable future.