betterC is a niche restricted feature set. If you don't already have a use case in mind, I'd recommend avoiding it.

It is for cases where you're stuck with certain limitations to integrate with the outside world. Like running on peculiar hardware or interoperating with certain outside programs where you can't initialize the runtime properly (and even then, you might be better off going with a custom minimal runtime over the betterC prepackaged restrictions).

Some libraries try to be compatible with it so they can be used in those special cases too, but you probably don't need it.

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