Hi @David Chase ,
Please try below solution;
1.Run (MMC)
2.Select certificate in snap console.
3.Locate your always encrypted certificate, either My user, or Machine Account
4.Right click-> All tasks-> Manage private key.
5.Add the windows user which is making SQL connection.
6.User could the process user, it can be either IIS or any windows Logon user.
Form this similar thread.
Best regards,
Cathy
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