They are actively working on it for their VS2026 C++ compiler. I think since 2017 or so they've kept up with C++ standards reasonably? I'm not a heavy C++ guy, so maybe I'm wrong, but my understanding is they match the standards.
These days on Linux/BSD/Solaris/macOS you can use makecontext()/swapcontext() from ucontext.h and it will turn out roughly the same performance on important architectures as what everyone used to do with custom assembly. And you already have fiber functions as part of the Windows API to trampoline.
I had to support a number of architectures in libdex for Debian. This is GNOME code of course, which isn't everyone's cup of C. (It also supports BSDs/Linux/macOS/Solaris/Windows).
Also, although not likely to be removed anytime soon from existing systems, POSIX has declared the context API obsolescent a while ago (it might actually no longer be part of the standard).
It can be safely ignored for the vast majority of apps. If you're using multithreading (quite likely if you're doing coroutines), then signals are not a good fit anyway.
This support table is complete mess. And saying "most platforms are supported" is too optimistic or even cocky.