The stdcall calling convention used APIs and API callbacks on Windows x86 doesn't use registers at all, all parameters are passed on the stack. MSVC does support thiscall/fastcall/vectorcall conventions that pass some values in registers, but the system APIs and COM interfaces all use stdcall.

Windows x64 and ARM64 do use register passing, with 4 registers for x64 (rcx/rdx/r8/r9) and 8 registers for ARM64 (x0-x7). Passing an additional parameter on the stack would be cheap compared to the workarounds that everyone has to do now.