We ran a scan that said we were missing KB5004947 (and I realize this had been superseded). It doesn't show as available from updates on the VM itself, and the standalone I get the error. It is not installed (update history).
Windows Server 2019
ran the following and rebooted:
SC config trustedinstaller start=auto
net stop bits
net stop wuauserv
net stop msiserver
net stop cryptsvc
net stop appidsvc
Ren %Systemroot%\SoftwareDistribution SoftwareDistribution.old
Ren %Systemroot%\System32\catroot2 catroot2.old
regsvr32.exe /s atl.dll
regsvr32.exe /s urlmon.dll
regsvr32.exe /s mshtml.dll
netsh winsock reset
netsh winsock reset proxy
rundll32.exe pnpclean.dll,RunDLL_PnpClean /DRIVERS /MAXCLEAN
dism /Online /Cleanup-image /ScanHealth
dism /Online /Cleanup-image /CheckHealth
dism /Online /Cleanup-image /RestoreHealth
dism /Online /Cleanup-image /StartComponentCleanup
Sfc /ScanNow
net start bits
net start wuauserv
net start msiserver
net start cryptsvc
net start appidsvc