The update that can cause the biggest problems is kb4524244, which was offered if you checked for updates once this month's cumulative update had been installed, and did not require a restart. Originally when it was offered the only thing I could find from Microsoft was that it improved the servicing stack, IOW improved the update process. Now it's being reported that it plugs a security hole in 3rd party UEFI software -- UEFI is the way or method that newer device BIOS use when starting the device. This has broken some PCs & laptops, mostly AMD but some Intel, and the HP brand seems more effected. For HP PCs/Laptops that will no longer start, users need to turn off secure boot in the BIOS, start Windows, uninstall the update, then turn secure boot back on. Other users are experiencing problems installing the update, with the update throwing errors or freezing.
Microsoft ***may*** have reissued the patch, hopefully fixed of course, since it showed up again for me this morning in Windows Update & installed. Or that could be just another thing that's broken with the update. I researched it because while everything initially said there would be no restart required, I had one copy of Windows 10 1909 that required a restart, then went through 3 steps, then restarted, went through 2 steps etc. before it finally restarted Windows. I've since seen this process reported by others.
bleepingcomputer[.]com/news/microsoft/windows-10-kb4524244-update-causes-freezes-installation-issues/
While researching that update I came across a lot of reports of kb4532693, the cumulative update, changing the account user name, then starting Win10 using the default user account. For some people restarting the PC/laptop [up to 3 times] apparently got things working. Others reported uninstalling the update worked.