In the long of it, I believe you have "some" knowledge of what attestation involves I believe. The h/w & s/w must be trusted (e.g. UEFI/TPM = Trusted Computing [TC]). You CANNOT maneuver around the requirement for TC; albeit, every device must be certified and an Attestation (encrypted) Key generated on your device (PC). MS "Azure" server operates as the intermediary to negotiate the authenticity of the Attestation Key. In a nutshell, all h/w & s/w must roll up into the creation of the Attestation Key. Again, this occurs via UEFI/TPM - each device asserts it is certified - this effectively means an outdated driver, an old(er) incompatible h/w device or its associated outdated s/w will not pass certification to create an Attestation Key if the h/w or s/w device cannot be "attested". Each h/w & s/w device rolls up into the Attestation Key (I realize I'm repeating myself). That key is generated within two layers: (1) UEFI (which must be enabled=BIOS) and TPM (which must be enabled=BIOS); however, there's a small catch to this. While both UEFI and TPM are BIOS provisioning factors, that Attestation Key is created by the OS (in other words Microsoft). So, the Attestation Key is produced and sent to the MS Azure Server (intermediary) to certify the authenticity of the device (your PC - which includes all h/w & s/w running on your PC). If the Attestation Key fails on your machine, it can/will cause disruptions to either or both h/w &/or s/w running on the PC.
This will be a two part answer - I've exceeded the character(s) limit.