With dirmngr 1.1.1 and libgcrypt-1.6.0 (gpg4win-2.2.2-beta19) I have what I
think is a similar error on Windows:
C:\Users\aheinecke>"c:\Program Files\GNU\GnuPG\dirmngr.exe"
dirmngr[3060]: Fatal: can't register GNU Pth with Libgcrypt: Not supported
Doesn't crash though. I've not tested the pth_init patch. If you think this is
useful please tell me and I will do so. I assume it will also fix this problem.