Fruityloops, now FL Studio, was written in Delphi and to my knowledge still is[1]. When ot launched there were no options but Win32 for Delphi.
That's just one example. Win32 makes it reasonably easy to skin things, and back in the 2000s a lit of programs did.
[1]: https://blogs.embarcadero.com/fl-studio-is-a-massively-popul...