The C standard library has had <threads.h> since C11 https://www.cppreference.com/c/thread and there are now a nonzero number of systems that support it! (glibc, musl, maybe others?)
Yeah. The right way to eliminate fork() is to make the usual APIs that modify process state take an explicit process handle, so the same APIs can be used to set up an empty process. They can also be composed in other ways, eg for IPC or debugging.
Yes, attacker controlled size without limit is bad (and this is also true for heap allocations). For VLAs there is -Wvla-larger-than that can be used to ensure there is a hard limit. To understand the risks of VLAs one also has to compare it to the alternatives. A fixed-size array on the stack is basically always worse. alloca is substantially worse. heap allocation may be a bit better, but also much slower.