To create a multiprocess server on Windows with Ruby, there are a few key steps:
1. Use the spawn method instead of fork to create worker processes since fork is not available on Windows.
2. Use the fiddle library to call Windows API functions like WSADuplicateSocketA to share sockets between processes.
3. Call rb_w32_wrap_io_handle to convert sockets to file descriptors and allow using them with Ruby socket methods.
4. Use TCPServer instead of Unix domain sockets for inter-process communication due to the lack of UDS on Windows.