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Spell out disallowed acronym VMSS
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azure-sql/virtual-machines/windows/performance-guidelines-best-practices-vm-size.md

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Consider the following limitations when installing SQL Server to Azure VMs:
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- [Azure Virtual Machine Scale Sets (VMSS)](/azure/virtual-machine-scale-sets/overview) are not supported with SQL Server on Azure VMs. If you decide to use VMSS with your SQL Server on Azure VM against this recommendation, and enable the [Automatic guest patching feature](/azure/virtual-machines/automatic-vm-guest-patching), which replaces the OS disk when a new image version is released, you will likely disrupt SQL Server, leading to potential corruption, data loss, and availability issues.
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- [Azure Virtual Machine Scale Sets](/azure/virtual-machine-scale-sets/overview) are not supported with SQL Server on Azure VMs. If you decide to use Virtual Machine Scale Sets with your SQL Server on Azure VM against this recommendation, and enable the [Automatic guest patching feature](/azure/virtual-machines/automatic-vm-guest-patching), which replaces the OS disk when a new image version is released, you will likely disrupt SQL Server, leading to potential corruption, data loss, and availability issues.
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- SQL Server isn't supported on systems with more than 64 vCores per NUMA node. [Disable SMT](/sql/sql-server/compute-capacity-limits-by-edition-of-sql-server#disable-smt-in-an-azure-virtual-machine) to use SQL Server on Azure VMs that exceed 64 vCores per NUMA node.
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- SQL Server currently supports disks with a standard native [sector sizes of 512 bytes and 4 KB](/sql/sql-server/install/hardware-and-software-requirements-for-installing-sql-server-2022#StorageTypes). Installing SQL Server to disks with 8-KB sector sizes isn't supported and can lead to [installation failures](/troubleshoot/sql/azure-sql/sql-installation-fails-sector-size-error-azure-vm), as well as [performance degradation from misaligned I/O](/troubleshoot/sql/database-engine/performance/performance-degradation-misaligned-io-sector-error).
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- SQL Server on Azure VM images fail to deploy with VM sizes that have uninitialized ephemeral disks. To learn more, review [Some SQL Server on Azure VM images fail to deploy](/troubleshoot/sql/azure-sql/sql-deployment-fails-drive-not-ready).

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