The mainstream game programming doesn't use C at all. (Source: I had been a gamedev for almost a decade, and I mostly dealt with C# and sometimes C++ for low-level stuffs.) Even C++ is now out of fashion for at least a decade, anyone claiming that C++ is necessary for game programming is likely either an engine developer---a required, but very small portion of all gamedevs---or whoever haven't done significant game programming recently.

Also, the reason that single-header libraries are rather popular in C is that otherwise they will be so, SO painful to use by the modern standard. As a result, those libraries have to be much more carefully designed than normal libraries either in C or other languages and contribute to their seemingly higher qualities. (Source: Again, I have written sizable single-header libraries in C and am aware of many issues from doing so.) I don't think this approach is scalable in general.