Hello @Zoest, Ron,
Welcome to Microsoft Q&A forum.
You can install msvsmon.exe on Windows Server 2019.
For example, this instruction: Remote Debug ASP.NET Core on a Remote IIS Computer in Visual Studio indicates => These procedures have been tested on these server configurations: Windows Server 2022 and IIS 10, Windows Server 2019 and IIS 10, Windows Server 2016 and IIS 10. And in the same document, one of the procedures is download and install the remote tools on Windows Server.
Feel free to let us know if you have any further concerns.
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