Hi,
no you dont need an Exchange Server to use several accounts in Outlook.
Maybe the configuration of your accounts are not correct.
Is there any error message?

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Can I add multiple email accounts to Outlook from aol, roadrunner,
hotmail,
etc without having to use an exchange email server?

My problem is that I can view all of the emails from these accounts in my
Outlook interface but when I reply and hit send, the replies go straight
to
my Outbox and never leave it. Does this mean I need an exchange email
server?