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Microsoft Certified: Azure Solutions Architect Expert · Microsoft
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virtual machines in an Azure Virtual Machine Scale Set (VMSS) cluster cannot be in multiple regions
A virtual machine scale set with autoscaling can meet the requirement of providing access to the full .NET framework and granting administrators access to the operating system to install custom application dependencies. However, it may not be the best solution for providing redundancy if an Azure region fails. To provide redundancy if an Azure region fails, it is recommended to deploy the stateless web app across multiple regions using Azure App Service. Azure App Service provides built-in redundancy and failover support across regions. Additionally, Azure App Service can also provide access to the full .NET framework and grant administrators access to the operating system. Therefore, the recommended solution would be to deploy the stateless web app using Azure App Service to provide redundancy and meet all the specified requirements.
App Service doesn't provide region redunancy, only zonal. We should use Front Door or Traffic Manager to have region redundancy.