Do these versions get regular updates or are they expected to run on air-gapped machines so nobody really has to take care of them?
See here (Enterprise and IoT Enterprise LTSB/LTSC editions):
https://learn.microsoft.com/en-us/windows/release-health/rel...
Technically it can break some apps if they are hard coded to only work with 22H2. Probably happens with some video games and anti cheat software ("always needs the latest update")
There is a Windows 11 LTSC version which works the same.