If you're not afraid to recompile your Perl executable and all additional modules, there also are Free MSVC tools + Activestate to compile CPAN Modules and Building Perl with the free MSVC tools.
I was under the impression that you should be able to compile XS modules using the free MSVC toolkit without recompiling the whole perl distribution, since the command line tools used in the free kit are the same as the ones in the full Visual Studio version.
I haven't tried that, though. The last time I compiled any XS modules for activestate perl on windows was years ago with the full Visual Studio kit.
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