The two subtypes of one sort of package managers, the "program manager"
I've written before that one of the complications of talking about package managers and package management is that there are two common types of package managers, program managers (which manage installed programs on a system level) and module managers (which manage package dependencies for your project within a language ecosystem or maybe a broader ecosystem). Today I realized that there is a further important division within program managers. I will call this division application (package) managers and system (package) managers.
A system package manager is what almost all Linux distributions have (in the form of Debian's dpkg and its set of higher level tools, Fedora's RPM and its set of higher level tools, Arch's pacman, and so on). It manages everything installed by the distribution on the system, from the kernel all the way up to the programs that people run to get work done, but certainly including what we think of as system components like the core C library, basic POSIX utilities, and so on. In modern usage, all updates to the system are done by shipping new package versions, rather than by trying to ship 'patches' that consist of only a few changed files or programs.
(Some Linux distributions are moving some high level programs like Chrome to an application package manager.)
An application package manager doesn't manage the base operating system; instead it only installs, manages, and updates additional (and optional) software components. Sometimes these are actual applications, but at other times, especially historically, these were things like the extra-cost C compiler from your commercial Unix vendor. On Unix, files from these application packages were almost always installed outside of the core system areas like /usr/bin; instead they might go into /opt/<something> or /usr/local or various other things.
(Sometimes vendor software comes with its own internal application package manager, because the vendor wants to ship it in pieces and let you install only some of them while managing the result. And if you want to stretch things a bit, browsers have their own internal 'application package management' for addons.)
A system package manager can also be used for 'applications' and routinely is; many Linux systems provide undeniable applications like Firefox and LibreOffice through the system package manager (not all of them, though). This can include third party packages that put themselves in non-system places like /opt (on Unix) if they want to. I think this is most common on Linux systems, where there's no common dedicated application package manager that's widely used, so third parties wind up building their own packages for the system package manager (which is sure to be there).
For relatively obvious reasons, it's very hard to have multiple system package managers in use on the same system at once; they wind up fighting over who owns what and who changes what in the operating system. It's relatively straightforward to have multiple application package managers in use at once, provided that they keep to their own area so that they aren't overwriting each other.
For the most part, the *BSDs have taken a base system plus application manager approach, with things like their 'ports' system being their application manager. Where people use third party program managers, including pkgsrc on multiple Unixes, Homebrew on macOS, and so on, these are almost always application managers that don't try to also take over and manage the core ('base') operating system programs, libraries, and so on.
(As a result, the *BSDs ship system updates as 'patches', not as new packages, cf OpenBSD's syspatch. I've heard some rumblings that FreeBSD may be working to change this.)
I believe that Microsoft Windows has some degree of system package management, in that it has components that you might or might not install and that can be updated or restored independently, but I don't have much exposure to the Windows world. I will let macOS people speak up in the comments about how that system operates (as people using macOS experience, not as how it's developed; as developed there are a bunch of different parts to macOS, as one can see from the various open source repositories that Apple publishes).
PS: The Linux flatpak movement is mostly or entirely an application manager, and so usually separate from the system package manager (Snap is the same thing but I ignore Canonical's not-invented-here pet projects as much as possible). You can also see containers as an extremely overweight application 'package' delivery model.
PPS: In my view, to count as package management a system needs to have multiple 'packages' and have some idea of what packages are installed. It's common but not absolutely required for the package manager to keep track of what files belong to what package. Generally this goes along with a way to install and remove packages. A system can be divided up into components without having package management, for example if there's no real tracking of what components you've installed and they're shipped as archives that all get unpacked in the same hierarchy with their files jumbled together.