Symptom. A query gets slower after someone adds an index that looks obviously helpful.
Cause. The index seeks correctly but does not cover Notes, so every
qualifying row triggers a Key Lookup into the clustered index. Each lookup is a
random read. Past roughly a low single-digit percentage of the table, half a
million random reads cost more than one sequential scan.
SQL Server knows this, which is why the slow variant needs FORCESEEK to
reproduce it. That hint stands in for what a human does with a badly chosen
index or a well-meaning query hint.
Fix. Let the optimiser choose, or cover the query as in pathology 04. The wrong fix is forcing the seek.
Why this matters more than it looks. “Seeks are good, scans are bad” is the most common piece of half-learned tuning advice. Above the tipping point it is false, and this directory is the counterexample with page counts attached: the forced seek reads over 1.6 million pages to return the same rows the scan returns in about 44,000.