Microsoft releases updates every month, these are generally security patches and application upgrades
You should install recommended updates when they are available to enhance protection
My Computer
At a glance
Windows 10 Pro x64, Arch LinuxIntel Core 2 Quad Q8200 OC'd 3.08GHz8GB DDR2 900MhzMSI GT730 2GB GDDR5 (Kepler)
There may also be some optional updates like language packs, driver updates, which to install or not is totally up to you.
PS: Updating drivers manually by visiting manufacturer's site is recommended rather than via windows update.