My company's infra team is converting our internal MYSQL databases from 5.7.x to 8.0 since 5.7 is approaching End of Life. With that comes a somewhat major deprecation of the utf8mb3 charset. We're formulating a plan that includes moving our larger VARCHAR fields to MEDIUMTEXT (and understand the implications with sync'ed records), however I have a few questions about some of the finer details related to Appian.
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When changing the data type of a record field you might have to recreate the record field which leads to some effort as you would have to update all references in you applications.
But I suggest to contact Appian and discuss that plan with their experts.
Appian themselves refer to utfmb4 for both MySQL and MariaDB installations. Dating back to 21.3 (and probably earlier).
I definitely recommend consulting with Appian on this but I really doubt that they will advise to convert from VARCHAR to MEDIUMTEXT.