> Which is called from what, if not C?

A prominent example is Delphi[1]. At work our primary application is a 20 year old Delphi Win32 application, which we ship new features in weekly.

Delphi does not rely on the C runtime, instead having its own system library which interfaces with the Win32 API that gets compiled in.

[1]: https://en.wikipedia.org/wiki/Delphi_(software)