@Glenn Maxwell
Thanks for reaching out on Microsoft Q&A Platform.
Whether you want to deploy a Load Balancer or not completely depends on the factors like application type, uptime, availability, etc.
As mentioned in the previous response by DayanandGavas-1821, you can check this Cloud Witness and it is a feature of Windows Server 2019 and later. You can follow this public document to deploy the storage account required to use the Cloud Witness. The Cloud Witness was designed, primarily, for on-prem systems that needed remarkable uptime and to be an intermediary between geographically distributed cluster nodes. It doesn't make much sense to deploy for systems already in Azure, but it is still good to have in cases where the VM nodes are in different Azure regions.
Hope that helps.
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