The mssql extension for Visual Studio Code, used to support SQL Server connections and T-SQL editing, has been updated with IntelliCode functionality and a new Object Explorer, among other new ...

Check out the latest Visual Studio third-party add-ons, including one that helps you edit your database's data and properties during a debug session.

I know you can install Windows 11 for ARM in Parallels and then run Visual Studio and SQL Server on top of that (with ARM-x64 emulation, I guess?), but IIS support was missing last I checked.

If you want to access it from C++, you can grab the IDL from the OLE Viewer that comes with Visual Studio, add it to your project, and let Visual Studio create Proxy code to access the database code.