Actually, every language in theory. At least any language which can use COM APIs can interact with PowerPoint. Ruby, Python, NodeJS, C, C++, C#, Java, Rust, ...

Actually, every language in theory. At least any language which can use COM APIs can interact with PowerPoint. Ruby, Python, NodeJS, C, C++, C#, Java, Rust, ... Pretty much you name it and it can control powerpoint unless it is sandboxed.