Can you open the issue here https://github.com/xdebug/vscode-php-debug/issues and provide the logs by setting "log:true" in the lauch.json.
I released a build however it still works for me.

Couldn't find the issue on Github, so I hope posting files here is OK. I don't see a log file being created. I've included the launch.json and a video showing what happens when I press F5. The XDEBUG section of php.ini is:
[XDebug]
zend_extension = xdebug
xdebug.mode = debug
xdebug.start_with_request = yes
zend_extension = C:\Program Files (x86)\iis express\PHP\v8.1\ext\php_xdebug.dll
xdebug.remote_log = C:\Users\JohnC3\Documents\JC3\My Documents\CautioTest\newhome\xdebug.log

I know it's a bit vague with no log file. If it would be in a different location, please let me know where to look and I'll get it right over to you.

You've correctly set log true. The log will be in vscode panel, tab "Debug Console". You can toggle panel visibility with ctrl+J

Again, no output produced. I've attached another video showing the debug window. When I press F5, all I see is the small green line running from left to right, but no output...

Strange, this could be an install error. I had a few similar issues, where the extension installation process just broke some files. One example: https://github.com/xdebug/vscode-php-debug/issues/659#issuecomment-925557874

You can try to uninstall the extension and install it again from within VSCode. If it does not work, try to uninstall it and install it from a download https://marketplace.visualstudio.com/items?itemName=xdebug.php-debug (search for "Download Extension").

Maybe there is a broken local cache. Try to check your local extension folder. I have mine in c:\users\XXX.vscode\extensions\xdebug.php-debug-1.33.0 . Uninstall the extension from vscode, close vscode and then check that the extension is really removed from the extensions folder. Then install it again.

Hope you can get it working.

If none of that works, can you ZIP up that code in c:\users\XXX.vscode\extensions\xdebug.php-debug-1.33.0 and send it here. I'd really like to catch those errors and report them to Microsoft.

I uninstalled VSCODE, and found it left many registry entries present (in violation of their own rules). I removed those, removed the XDEBUG section from php.ini, and rebooted. I installed VSCODE, added back the zend_extension = xdebug line into php.ini, and installed XDEBUG in VSCODE. It now works. The only thing I can think of is that the uninstall of XDEBUG from VSCODE removed the zend_extension = xdebug line from php.ini, and it never got added back in. In any case, it's working now. Thank you for your help.