You could use GDI+ directly. Or the Cairo library. There are several bindings 
for Nim.

NiGui wraps both GDI+ and Cairo. Example program: 
[https://github.com/trustable-code/NiGui/blob/master/examples/example_10_drawing.nim](https://github.com/trustable-code/NiGui/blob/master/examples/example_10_drawing.nim)

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