The Windows Malicious Software Removal Tool was designed by Microsoft as a sanity check for versions of Windows that your existing security software is truly working, since that's commonly been a problem when either the current Microsoft (e.g. Defender, Microsoft Security Essentials} or any 3rd-party) security application has been attacked and successfully disabled or damaged by malware.
For that reason, it's always recommended by Microsoft that this app delivered monthly via Windows or Microsoft Update to detect and remove certain prevalent forms of malware be allowed to run.
Since the app itself is a portable executable and not actually installed, but simply copied into the Windows\System folder by default and executed once during an update cycle, its removal is just as simple, simply delete the file(s) associated with its installation and operation.
Here's the document that covers most of this and following is the excerpt that munitions its removal.
How to remove the MSRT
The MSRT does not use an installer. Typically, when you run the MSRT, it creates a randomly named temporary directory on the root drive of the computer. This directory contains several files, and it includes the Mrtstub.exe file. Most of the time, this folder is automatically deleted after the tool finishes running or after the next time that you start the computer. However, this folder may not always be automatically deleted. In these cases, you can manually delete this folder, and this has no adverse effect on the computer.
< EDIT > Note from the same document about Windows version support:
"In compliance with the Microsoft Support Lifecycle policy, the MSRT is no longer supported on Windows Vista or earlier platforms. For more information, go to Microsoft Support Lifecycle."
It seems funny to me that some people can't seem to remember that to anyone with an early Windows 7 computer that wasn't upgraded for free to Windows 10, may have also had a very early HDD that in relative terms to today would be considered tiny, since in many cases the PC might have already been upgraded from an earlier Windows version such as Windows XP, which quite often may have had a HDD close to the then minimum size of 1.5GB. In relative terms to this, figures above 100MB begin to appear significant.
Funny how we tend to quickly forget the past. My first computer which was considered quite decked out for its day eventually had 4 MHz Z80 processor, 64 KB RAM, 128 KB RAM-Disk and dual 8" loppies with maximum 600 KB storage capacity. OF course, that was in the early 1980' for an IMSAI 8080 based microcomputer initially purchased in 1979 with 2 MHz 8080, 12 KB RAM and audio cassette tape storage of BASIC language programs only. Those less than 20 years old or even older may have a hard time believing that computer ever existed.
Rob