You would have to read the wiki here -
https://github.com/EQEmu/Server/wiki...indows-Install to learn all about doing a manual install. That VS 2019 won't do you any good, the project currently requires Visual Studio 2017 Community. (and several other resources). Once you learn how, it's piece of cake compiling updated source, anytime you want. I was around back when DOS 5 was still being sold on the shelves, and I miss those days, lol