The extension pack is a proprietary set of extensions providing extra functionality to VirtualBox like USB2 and USB3 passthrough. You only need this if you are going to use the functionality provided and it is not required for VirtualBox to function.
Oracle Cloud Infrastructure integration
USB 2.0 and USB 3.0 Host Controller
Host Webcam
VirtualBox RDP
PXE ROM
Disk Encryption
NVMe
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