Windows 10 22H2. I've observed at least twice now that suddenly Options+ will just stop working and I can't even open up the software manually, but it still shows as installed in programs&features.

I have to uninstall it manually and then re-install it, then reconfigure my mouse bindings. It's not time consuming but it is very inconvenient.

I uninstall and install Options+ via winget for whatever that is worth.