Hi Red,
Based on your findings, the most significant clue is that the Print Spooler service is terminating with Win32 Exit Code 1067, and uninstalling KB5132043 temporarily restores printing. This suggests that the update may be exposing an existing issue with a print driver, print monitor, printer management software, or spooler dependency rather than the update itself being the sole root cause.
My first recommendation is to review Event Viewer > Windows Logs > Application and System, as well as Applications and Services Logs > Microsoft > Windows > PrintService, looking for spooler crashes, faulting modules, or driver-related events that occur when the spooler starts. Since Microsoft Print to PDF is also reported as unavailable, I would investigate whether the problem affects the entire print subsystem rather than a specific printer driver. It is also worth testing whether the spooler starts successfully after temporarily removing third-party printer drivers and print management utilities from an affected device.
To remain protected with current security updates, I would avoid relying on uninstalling the update as a long-term solution. Instead, compare a healthy updated machine with an affected one and look for differences in installed printer drivers, print processors, language monitors, or endpoint security software. If the spooler crash consistently references the same module or driver, updating or removing that component is often enough to restore printing while keeping the security updates installed.
Additionally, verify the integrity of the print subsystem and confirm that the Print Spooler dependencies and services are configured correctly. If multiple devices are affected, gathering crash details from several systems can help identify a common component responsible for the failures.
I hope the response provided some helpful insight. If you find this answer useful, please hit “accept answer” so I know it addressed your concern.
Jason