@Shaun Wallace Thank you for reaching out.
Seems like you are seeing more connected clients than you have servers in your environment for your Azure Redis Enterprise cache.
Yes, by default each ConnectionMultiplexer instance in StackExchange.Redis creates at least 2 connections to each cache. One for interactive commands, and one for pub/sub messages. To condense those into a single connection you can switch to use RESP3 instead of RESP2.
When using OSS Clustering mode, the number of connections will be even higher, as each ConnectionMultiplexer connects to all shards in the cache per the Redis clustering specification.
Hope that helps.
Regards,
Oury