AMD SEV has provided foundational technology for Confidential VMs at cloud scale, including deployments in Microsoft Azure Cloud. As workloads span cloud, hybrid, edge, and customer-owned environments, the architectural requirement is clear: preserve the Confidential VM trust pattern wherever those workloads run. This joint AMD-Microsoft session shows how AMD SEV and Azure Local come together for hybrid and on-prem deployment requirements, connecting silicon-based isolation, attestation, policy-gated key release, Azure Local deployment models, and practical deployment considerations. The session includes an Azure Local demo of attestation-gated access to protected workload assets.