And PPM has AFAIK never been recommended with Strawberry Perl.

I recently discovered that Strawberry Perl comes with its own PPM. I had been struggling to install ImageMagick binaries on Windows when I found a forum that mentioned using PPM on Strawberry Perl to install it. A minute later it was installed. The PPM bundle included the correct ImageMagick binaries with the module. I don't know about other modules or how good the coverage is in general.