Hello DavidTveraas
For becoming a Trusted Publisher you will need to purchase a code signing certificate and use a tool like Microsoft SignTool in order to sign your software. This certificates are provided by 3rd party certification authorities and the providers are several. You may prompt your question to Unreal forums in order to get some feedback on experiences from other game developers in the topic, providers, etc...
For more information about SignTool and Code Signing certificates, please check:
https://learn.microsoft.com/en-us/windows/win32/seccrypto/signtool
https://learn.microsoft.com/en-us/windows/win32/seccrypto/cryptography-tools
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