Hello @Peter Scherer
Your uninstall/retest result is useful evidence, especially with ~450 affected deployments. However, as of September 2, Microsoft’s KB5121003 known-issues section does not list thermal printer failures; the currently documented issue relates to certain games/peripheral drivers.
Since removing KB5121003 restores printing and reinstalling it reproduces the problem, treat this as a potential update regression and report it to Microsoft rather than assuming the Cognitive TPG driver is solely responsible.
For affected systems, capture the printer model/driver version, connection type (USB/network), PrintService event logs, Windows build, and a before/after KB5121003 reproduction. Submit this through Feedback Hub (Win+F) and, with this number of affected endpoints, open a Microsoft support case so the Windows printing team can investigate.
I agree with temporarily pausing deployment as a mitigation, but because KB5121003 is a security update, I don't recommend keeping it blocked longer than necessary without Microsoft guidance.
Reference: KB5121003 release notes and known issues
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