Hello Mark
Ok something has gone wrong somewhere. Mind you, you already know this. I understand your exasperation.
From what I can see, which you already know, nothing receives on the VAC line, not MMTTY and not FLDigi. And I think you mentioned WSJTx doesn't either.
So it is not a MMTTY problem. I think we have to break this down into component parts. VAC - it is up to you of course but if it were me I would completely uninstall it using Revo Uninstaller which will, with an Advanced Scan, remove all registry entries and all existing VAC lines too. Optionally you could download the latest version 4.64.
Then reinstall and create just 2 VAC lines to start with, VAC 1 for RX and VAC 2 for TX. Set to WavePCI with MS per Int at 3 for RX and 5 for TX.
Retry MMTTY and let me know. I can look at again if needed but it will now have to be tomorrow.
Erik.