This article identifies a scenario where vSAN health alarms, including "Hosts with connectivity issues" and "vSAN Cluster Configuration Consistency," are triggered by severe CPU over-provisioning on ESXi hosts.
Severe compute resource contention occurs when the vCPU to pCPU ratio reaches critical levels. This over-provisioning causes processing delays for the vSAN management services (such as vsanmgmtd), leading to failed API calls and inconsistent health reporting between the ESXi hosts and vCenter.
To resolve this issue, reduce the compute resource contention across the affected cluster: