[8organicbits]

I like UUIDv7s as database IDs since they sort chronologically, are unique, and are efficient to generate. My system chooses the UUIDs; I don't allow externally generated IDs in. If I did, then an attacker could easily force a collision. As such, I only care about how fast I create IDs. This is a common pattern.

If your system does need to worry about UUIDv7s generated by the rest of the universe, you likely also need to worry about maliciously created IDs, software bugs, clocks that reset to unix epoch, etc. I worry about those more than a bonefide collision.