For the records, I am 15 years virus free on my Windows based machines without an antivirus, using IE daily since IE4 as my main browser, and using Outlook as a mail client for the last 10 years.
For a minute there I thought you were still using IE4 and was about to ask if you were crazy
And, never seen any BSOD on Windows Server boxes since Windows NT4, in the last 10 years.
BSODs are generally caused by bad drivers or bad hardware but Windows takes the blame for it.
And, an uptime of more than 2 years on a Windows Server machine not connected to the internet and not needing any update-> reboot.
If it is a standalone machine that nothing else connects to then sure, leave it unpatched but if other machines do connect to it even if it isn't on the internet then you should patch it.
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