Spout2 背景 - rubujo/VTubeStudio GitHub Wiki
VTube Studio 支援 Spout2 背景(僅限 Windows)。
When you select that special background, it shows you a list of available Spout2 sources (excluding ones created by VTube Studio). Selecting a source will render the video sent via Spout2 as background in VTube Studio.
Using this, you could for example use OBS (you can start OBS multiple times) to record some window and them stream it into VTS using the OBS Spout2 輸出外掛程式.
Also, be careful about the resolution of the Spout2 source you select. Having a very high resolution may cause lag, so it's recommended to keep streams at 1920x1080 at most.