Assume you have 64-bit AutoCAD installed (who has not, this days?), and also use 64-bit VS2022, did you do as I noted in previous post: set the VS project to target x64 platform, NOT x86, or Any CPU!
I just did:
1. created a simple Win Form EXE with a single form;
2. add AcCtrl by rigt-clicking "Choose Item..." in the Tool Box window;
3. Drag the AcCtrl control onto the Form
4. Add one-line of code:
private void Form1_Load(object sender, EventArgs e)
{
axAcCtrl1.src=@"C:\Temp\Test.dwg";
}
5. Hit F5 to run.
Here was what I got:

At this time, if you go to "Task Manager" to see the process detail, you would see, besides the EXE running, there is also an "AutoCAD Application" process runs as background process. As you can see, this would effectively eats up a lot of computer resources just for the purpose of showing the "picture of drawing" in better visual quality. The bad thing with using AcCtrl is the lack of necessary API being exposed. For example, if you use it in an EXE, when the EXE end, the Acad application in the background could/would remain running, which could cause issues.
I would avoid to use AcCtrl just for viewing drawing as picture with better visual quality whenever possible, and fortunately, I have never needed to, so far.