diff --git a/Health Check Scripts/Large Change Tracking Internal Tables.sql b/Health Check Scripts/Large Change Tracking Internal Tables.sql
new file mode 100644
index 0000000..e2b30f9
--- /dev/null
+++ b/Health Check Scripts/Large Change Tracking Internal Tables.sql	
@@ -0,0 +1,83 @@
+/*
+Check for large Change Tracking internal tables
+Author: Eitan Blumin | Madeira Data Solutions | https://madeiradata.com
+Date: 2024-03-21
+Reference:
+https://learn.microsoft.com/en-us/sql/relational-databases/track-changes/cleanup-and-troubleshoot-change-tracking-sql-server
+*/
+DECLARE
+	@TopPerDB			int		= 100,
+	@MinimumRowCount	bigint	= 1,
+	@MinimumSizeMB		bigint	= 1024,
+	@FilterByDB			sysname = NULL -- NULL = All databases, DB_NAME() = Current database, 'DBName' = Filter by specific database
+
+SET NOCOUNT, ARITHABORT, XACT_ABORT ON;
+SET TRANSACTION ISOLATION LEVEL READ UNCOMMITTED;
+DECLARE @command NVARCHAR(MAX);
+IF OBJECT_ID('tempdb..#TempResult') IS NOT NULL DROP TABLE #TempResult;
+CREATE TABLE #TempResult (DatabaseName sysname, ObjectType sysname NULL, SchemaName sysname NULL, TableName sysname NULL
+, RowCounts BIGINT NULL, TotalSpaceMB float NULL, UsedSpaceMB float NULL, UnusedSpaceMB float NULL);
+
+SELECT @command = '
+SELECT TOP (' + CONVERT(nvarchar(max), @TopPerDB) + N')
+	DB_NAME() AS DatabaseName,
+	it.internal_type_desc AS ObjectType,
+	OBJECT_SCHEMA_NAME(p.object_id) AS SchemaName,
+	OBJECT_NAME(p.object_id) AS TableName,
+	SUM(p.rows) AS RowCounts,
+	ROUND(((SUM(a.total_pages) * 8) / 1024.00), 2) AS TotalSpaceMB,
+	ROUND(((SUM(a.used_pages) * 8) / 1024.00), 2) AS UsedSpaceMB, 
+	ROUND(((SUM(a.total_pages) - SUM(a.used_pages)) * 8) / 1024.00, 2) AS UnusedSpaceMB
+FROM 
+	sys.system_internals_partitions p
+INNER JOIN
+	sys.internal_tables it on p.object_id = it.object_id
+INNER JOIN 
+	sys.allocation_units a ON p.partition_id = a.container_id
+WHERE 
+	p.rows >= ' + CONVERT(nvarchar(max), @MinimumRowCount) + N'
+	AND it.internal_type_desc IN (''TRACKED_COMMITTED_TRANSACTIONS'', ''CHANGE_TRACKING'')
+GROUP BY 
+	p.object_id, it.internal_type_desc
+HAVING
+	SUM(a.total_pages) >= ' + CONVERT(nvarchar(max), @MinimumSizeMB) + N' * 1024.0 / 8
+ORDER BY TotalSpaceMB DESC
+OPTION(RECOMPILE);'
+
+DECLARE @CurrDB sysname, @spExecuteSql nvarchar(1000)
+
+DECLARE DBs CURSOR
+LOCAL FAST_FORWARD
+FOR
+SELECT [name]
+FROM sys.databases
+WHERE HAS_DBACCESS([name]) = 1
+AND DATABASEPROPERTYEX([name], 'Updateability') = 'READ_WRITE'
+AND database_id IN (SELECT database_id FROM sys.change_tracking_databases)
+AND OBJECT_ID(QUOTENAME([name]) + N'.sys.system_internals_partitions') IS NOT NULL
+AND (@FilterByDB IS NULL OR [name] LIKE @FilterByDB)
+
+OPEN DBs
+
+WHILE 1=1
+BEGIN
+	FETCH NEXT FROM DBs INTO @CurrDB;
+	IF @@FETCH_STATUS <> 0 BREAK;
+
+	SET @spExecuteSql = QUOTENAME(@CurrDB) + N'..sp_executesql'
+
+	INSERT INTO #TempResult
+	EXEC @spExecuteSql @command
+END
+
+CLOSE DBs;
+DEALLOCATE DBs;
+
+SELECT *
+, TrackedTableName = CASE WHEN ObjectType = 'CHANGE_TRACKING' THEN OBJECT_NAME(CONVERT(int, SUBSTRING(TableName, LEN('change_tracking_')+1, 256)), DB_ID(DatabaseName)) END
+--Msg = CONCAT(QUOTENAME(DatabaseName),'.',QUOTENAME(SchemaName),'.',QUOTENAME(TableName), N' (', ObjectType, N'), row count: ', RowCounts, N', Used Space: ', UsedSpaceMB, N' MB'), TotalSpaceMB
+FROM #TempResult
+ORDER BY TotalSpaceMB DESC
+
+DROP TABLE #TempResult;
+