Comment by NyxWulf

I think generally you can still rely on that aspect, compared to the alternative of UUIDv1-4. Even the worst cases he mentioned would cause minimal page splitting problems in a database compared to even the best cases with UUIDv1-4. The biggest take away I got from the article is that there is some wiggle room in how things can be implemented in the UUIDv7 spec, and it's important to be aware of the implementations you are using.