C# AOT exists in various forms since .NET 1.0, starting with NGEN, Native AOT is only the very last implementation from a series of attempts.

Here is a .NET example of writing node.js extensions in C#, from Microsoft themselves.

"Writing Node.js addons with .NET Native AOT"

https://devblogs.microsoft.com/dotnet/writing-nodejs-addons-...

When .NET team complains about lack of adoption in podcasts, they could start with their own former team members.