Can you run two antivirus programs at the same time?
Two full real-time antivirus engines: no, they fight over files, cause slowdowns, and can miss threats while blaming each other. The one designed exception is Malwarebytes, which is built to run alongside your main antivirus, including Microsoft Defender.
Real-time scanners hook deep into the system and inspect every file the moment it is touched. Two of them means double interception of everything: each scan triggers the other scanner, quarantines conflict, and the system crawls. Windows knows this, which is why installing a third-party suite automatically puts Microsoft Defender into passive mode.
The exception that proves the rule is Malwarebytes: it was deliberately engineered as a second layer, registering itself so it cooperates rather than competes. Defender plus Malwarebytes Premium is a popular and legitimate combination: the broad baseline plus a specialist in the newest threats and unwanted programs.
What is always fine: one real-time engine plus on-demand scanners you run manually. The free version of Malwarebytes works exactly like that, as a second-opinion scanner and cleanup tool when you suspect something slipped through. More than that buys you conflicts, not protection.