If standard repairs do not work, secondary causes such as corrupted registry entries or incorrect execution modes may be the culprit. Run the /fixguids Command Command Prompt as an Administrator.
Troubleshooting "Failed to Launch 64-bit Server" in Dragon NaturallySpeaking
This is the most common fix recommended by Nuance support. The error often stems from a damaged Visual C++ 9.0 Runtime component. Close all open windows and applications. Navigate to your Dragon installation files or disc. Open the folder path: . Double-click vcruntime_x64.exe .