Translators can have even more characters and are a combination of numbers and letters.
Experimental stations are generally W or K a region digit, and three letters starting with X, these are issued out of the pool of callsigns used for amateur radio stations.
Buiness band and GMRS licenses use the same format, generally three or three letters starting with K or W, and three or four numbers.
See for more information: https://www.ecfr.gov/cgi-bin/text-idx?&mc=true&node=sp47.1.2...
All commercial radio and television stations in the US have call signs starting with K or W. The division is geographic -- west coast stations use K; east coast stations use W. (The dividing line is, roughly speaking, drawn at the Mississippi River.)
In Japan, as well. JODW/Tokyo, and others. The only exception I've heard in Japan is Eagle 810, which operates from a U.S. military base.
I think the FM callsigns for the same station were different (four characters rather than three), however could be related, but the callsigns were eventually dropped or incorporated into the station name as it stopped being a thing broadcast stations needed to announce (or maybe even have.) For example, as the station that had that antenna above started FM, it had a callsign but now it's just left in the name: https://en.wikipedia.org/wiki/ZM_Wellington
Same on TV, when I was a kid our PBS stations always went by KAET, later on they went by the channel number Eight. Now that people might not even be watching on a channel (streaming) they just go by Arizona PBS, but every once in a while they show their station callsign and the call sign of all the translators (stations that transmit identical signal in other parts of the state)
They're used everywhere, but not every country requires them to be spoken aloud. They can be transmitted or recorded in other methods that are not audible to the listener.
Japan, for example, uses the American method. You can hear it if you stream JODW/Tokyo.