It's turned off by default in a lot of distros these days but it can be turned back on. It used to be that editing /etc/X11/xorg.conf was recommended but because file inclusions are a thing these days, it makes more sense to create a new file /etc/X11/xorg.conf.d/enable-killing-xserver.conf:
Then restart the X server (which, these days, is pretty much a reboot). Or, going through the x.org documentation archives, it looks like you could dispense with the config files and run setxkbmap -option "terminate:ctrl_alt_bksp" in a terminal session and that'll do the same thing.
There is a proposal to consider making a Wayland extension where programs can sit around and re-attach to a fresh, non-deaded display server. KDE is much closer to having a working version.
On Linux, if a graphical app does not crash from this, that is a rare exception.
On windows, if a graphical app crashes from that, that is an exception.