I have a EC2 instance that is a Window Server 2016 running an ASP.NET website. I got an AWS-issued SSL certificate. How do I install this certificate on this EC2 instance? It is Windows environment so I need a PFX or PEM file. How do I get this file from AWS Certificate Manager?
Are you talking about the AWS Certificate Manager? If so you can't use them like that.
From the FAQ:
Q: What can I do with AWS Certificate Manager?
A: You can request and provision SSL/TLS certificates and deploy them for sites and applications that use Elastic Load Balancing, Amazon CloudFront, or Amazon API Gateway. Once you validate ownership of the requested domain and the certificate is issued, you can select the SSL/TLS certificate from a drop-down list in the AWS Management Console to deploy it. Alternatively, you can deploy certificates provided by ACM to AWS resources using AWS Command Line Interface (CLI) commands or API calls. ACM manages certificate renewals and certificate deployment for you.
If you're talking about another kind of certificate, it's probably not supported by AWS-issued certificates — for example, you can't export the certificate to import into IIS or Apache.
Alternatively, please edit your question to make it more precise.