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Hi, thanks for your question.
At the time, AWS Systems Manager Patch Policy across Organization [1] should be deployed from the Management Account. There is no need of setup AWS Config service to create a Patch Policy for your organization. Here is blog post you can follow to complete this setup [2]. In order to monitor your patch compliance , you can use AWS Systems Manager Explorer, which can set up a Delegated Administrator account within your Organization [3].
[1]https://aws.amazon.com/about-aws/whats-new/2023/01/aws-systems-manager-patch-policies-cross-account-region-patching/ [2]https://aws.amazon.com/blogs/mt/centrally-deploy-patching-operations-across-your-aws-organization-using-systems-manager-quick-setup/ [3]https://docs.aws.amazon.com/systems-manager/latest/userguide/Explorer-setup-delegated-administrator.html
Regards,
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