We haven't used any other solution for this type of process as there are no other products that offer the same service, because Windows Update is part of the Windows Server operating system. It is like a black box that nobody knows anything about and you aren't provided with any tools that can offer the same job that the WSUS server does.

We tried some different products, including ManageEngine Patch Management and Automox.

Our company has previously used Microsoft System Center's on-premise version. Since it was a native cloud tool, we moved to Microsoft Windows Server Update Services.

We previously used Linux servers. We switched based on client requirements as they wanted a user-friendly service even with engineers assisting them.

I didn't use another patch management solution before Microsoft Windows Server. 

We did not use any solution previously.

I only use Microsoft products. I have it for federal use and I think you have no option to do this with another vendor. Also, there are no other vendors who support so many applications and scenarios.