The origins of AWS are entirely unrelated, Amazon simply realized it was good at operating infrastructure. This led to the conception of offering infrastructure as a service. The initial AWS service offerings were built based on Amazon's experience and expertise but were not the literal internal services of Amazon.
See https://www.networkworld.com/article/2891297/the-myth-about-... for more historical details.
Amazon (or Google, or Microsoft) is an anomaly, the things Amazon needs to operate Amazon.com are very very different from what most companies need. The internal services and architecture are purpose built although today they do heavily leverage AWS under the hood. Amazon.com is just a customer of AWS, there's no special installation.
Almost nobody needs Amazon.com's infrastructure (except Amazon) or could even afford to staff it. What people do need are generalized, managed services they can combine for their own use cases.
I think the only needs that are likely different are scale, so bigger instances, and the fact that they have a massive legacy infrastructure that can't be easily migrated off of. So that's pretty much what I would expect; Amazon.com does use AWS for new stuff but is still operating a lot of legacy as well.