Ventoy, as far as I know, uses image files only, so if you are making changes to your files then my best guess is you will need to update the ISO or rebuild it.
I mainly use it for distro hopping, I will download the latest version of a Linux distro to give it a try. Got quite a few on my bootable drive. So I never update any files other than replacing the ISO I had been using for a certain distro.
I think Ventoy would work in your case if you needed to carry around more than one version of the automated Windows install you are using.