You can do everything with Nim that you can do with C. So yes.

There are two main ways to link with a .dll, by including the .h file and 
importing the types and definitions and possibly linking with a .lib file. See: 
<https://livebook.manning.com/book/nim-in-action/chapter-8/60>

There is another way were you just dynamically link with .dll without .h or 
.lib file which I prefer more. But you have to match "binary" api and types 
exactly as the .h file will not help you. See: 
<https://github.com/treeform/windy/blob/master/src/windy/platforms/win32/windefs.nim>

But it looks like Nim already supports a little bit of what you want with 
`setControlCHook` see: 
<https://nim-lang.org/docs/system.html#setControlCHook%2Cproc> maybe looking at 
source will unlock more?

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