From what I see, RT_PREEMPT (or PREEMPT_RT, or RT patches, depending on who you talk to) patches are for the Linux kernel and have nothing to do with VMware. You’ll have to check with wherever you get your kernels from to see if they can include the patches and rebuild a real-time kernel for you.
A web search appear to find blogs on how to include and build kernels with these patches.
Wikipedia states that the PREEMPT_RT patches have been accepted into the mainline Linux kernel sources as of late 2024 in kernel 6.12.
Some distros have pre-built real-time kernels available. For Debian 11, you might want to check the bullseye-backports repos to see if there’s a real-time alternate kernel already built for you