What would happen...

Theoretically nothing (except the computer will run a bit faster). If a current active process used some of these files, then it could crash, but even that's not a big deal...
 
Normally when u want to do some Disk Cleaning up. it would give u the option to delete files in temp folder and others. so basicly its a good thing. not to worry.
 
It's not going to affect anything besides a video clip or something like that that happens to be relying on a file in that folder
 
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