I am using a Windows7 64-bit laptop and got the server/eq combo working fine. Did not need to install 32-bit perl or anything. You must compile your own server, though. Followed that same wiki guide plus did a few additions (not sure if they helped).
My tools:
xampp 1.73 (comes with mysql and perl already installed)
visual c++ 2008 express
zlib (not sure if it is needed, but followed wiki)
tortoise svn
command prompt
windows notepad
I made sure my path environment variable pointed to mysql and perl directories, and also made sure that the directories were specified in vs2008. I also had to set the build order: emusharemem, world, zone, eqlaunch, ucs
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