SQL has auto increment keys
Having random uuids play against locality of reference and would lead to disk read thrashing significantly slowing QPS.
https://www.percona.com/blog/2019/11/22/uuids-are-popular-but-bad-for-performance-lets-discuss/
https://vladmihalcea.com/uuid-database-primary-key/
Test the various key startegies RW performance to decide what to do.