The most of the harm is typically caused by a few statements when a SQL Server feels "slow." With Dynamic Management Views (DMVs), you can locate them the quickest. The worst offenders are uncovered by CPU, IO, duration, and "what's running right now" using the copy-paste scripts below, along with instructions on how to read the results and what to do next.

    Requirements: VIEW SERVER STATE permission. Numbers like total_worker_time and total_elapsed_time are in microseconds unless noted.

What “high usage” means (pick the lens)?

  • CPU: how much processor time a query uses.
  • IO: logical/physical reads and writes (memory and disk pressure).
  • Duration: how long a query takes end-to-end.
  • Currently running: live workload that may be blocking others.

You’ll use a different script depending on which lens you want.

Top queries by CPU

-- Top 20 queries by total CPU since the plan was cached
SELECT TOP 20
    DB_NAME(st.dbid)                                        AS database_name,
    qs.execution_count,
    qs.total_worker_time/1000.0                             AS total_cpu_ms,
    (qs.total_worker_time/1000.0)/NULLIF(qs.execution_count,0) AS avg_cpu_ms,
    (qs.total_elapsed_time/1000.0)/NULLIF(qs.execution_count,0) AS avg_duration_ms,
    qs.total_logical_reads + qs.total_physical_reads        AS total_reads,
    SUBSTRING(st.text, (qs.statement_start_offset/2)+1,
        ((CASE qs.statement_end_offset
            WHEN -1 THEN DATALENGTH(st.text)
            ELSE qs.statement_end_offset END
          - qs.statement_start_offset)/2) + 1)              AS query_text,
    qp.query_plan
FROM sys.dm_exec_query_stats AS qs
CROSS APPLY sys.dm_exec_sql_text(qs.sql_handle) AS st
CROSS APPLY sys.dm_exec_query_plan(qs.plan_handle) AS qp
ORDER BY qs.total_worker_time DESC;

Tip: Add WHERE DB_NAME(st.dbid) = 'YourDbName' if you only care about one database.

Top queries by IO (reads/writes)

-- Top 20 by total reads; add writes if you care about heavy DML
SELECT TOP 20
    DB_NAME(st.dbid)                                        AS database_name,
    qs.execution_count,
    (qs.total_logical_reads + qs.total_physical_reads)      AS total_reads,
    (qs.total_logical_writes + qs.total_physical_writes)    AS total_writes,
    (qs.total_logical_reads + qs.total_physical_reads) / NULLIF(qs.execution_count,0) AS avg_reads,
    (qs.total_logical_writes + qs.total_physical_writes) / NULLIF(qs.execution_count,0) AS avg_writes,
    (qs.total_elapsed_time/1000.0)/NULLIF(qs.execution_count,0) AS avg_duration_ms,
    SUBSTRING(st.text, (qs.statement_start_offset/2)+1,
        ((CASE qs.statement_end_offset
            WHEN -1 THEN DATALENGTH(st.text)
            ELSE qs.statement_end_offset END
          - qs.statement_start_offset)/2) + 1)              AS query_text
FROM sys.dm_exec_query_stats AS qs
CROSS APPLY sys.dm_exec_sql_text(qs.sql_handle) AS st
ORDER BY total_reads DESC;


Top queries by average duration
-- Queries that are slow per execution (not just popular)
SELECT TOP 20
    DB_NAME(st.dbid)                                        AS database_name,
    qs.execution_count,
    (qs.total_elapsed_time/1000.0)                          AS total_duration_ms,
    (qs.total_elapsed_time/1000.0)/NULLIF(qs.execution_count,0) AS avg_duration_ms,
    (qs.total_worker_time/1000.0)/NULLIF(qs.execution_count,0)  AS avg_cpu_ms,
    (qs.total_logical_reads + qs.total_physical_reads) / NULLIF(qs.execution_count,0) AS avg_reads,
    SUBSTRING(st.text, (qs.statement_start_offset/2)+1,
        ((CASE qs.statement_end_offset
            WHEN -1 THEN DATALENGTH(st.text)
            ELSE qs.statement_end_offset END
          - qs.statement_start_offset)/2) + 1)              AS query_text
FROM sys.dm_exec_query_stats AS qs
CROSS APPLY sys.dm_exec_sql_text(qs.sql_handle) AS st
WHERE qs.execution_count > 0
ORDER BY avg_duration_ms DESC;

Stored procedures that hit the server hardest
Use sys.dm_exec_procedure_stats to get procedure-level rollups (cleaner than trying to stitch statements together).
-- Procedures by total CPU
SELECT TOP 20
    DB_NAME(ps.database_id)                                 AS database_name,
    OBJECT_SCHEMA_NAME(ps.object_id, ps.database_id)        AS schema_name,
    OBJECT_NAME(ps.object_id, ps.database_id)               AS procedure_name,
    ps.execution_count,
    ps.total_worker_time/1000.0                             AS total_cpu_ms,
    (ps.total_worker_time/1000.0)/NULLIF(ps.execution_count,0) AS avg_cpu_ms,
    ps.last_execution_time
FROM sys.dm_exec_procedure_stats AS ps
WHERE ps.database_id > 4  -- skip system DBs; remove if you want them
ORDER BY ps.total_worker_time DESC;

-- Procedures by total reads (IO)
SELECT TOP 20
    DB_NAME(ps.database_id)                                 AS database_name,
    OBJECT_SCHEMA_NAME(ps.object_id, ps.database_id)        AS schema_name,
    OBJECT_NAME(ps.object_id, ps.database_id)               AS procedure_name,
    ps.execution_count,
    (ps.total_logical_reads + ps.total_physical_reads)      AS total_reads,
    ((ps.total_logical_reads + ps.total_physical_reads)/NULLIF(ps.execution_count,0)) AS avg_reads,
    ps.last_execution_time
FROM sys.dm_exec_procedure_stats AS ps
WHERE ps.database_id > 4
ORDER BY total_reads DESC;

-- Procedures by average duration
SELECT TOP 20
    DB_NAME(ps.database_id)                                 AS database_name,
    OBJECT_SCHEMA_NAME(ps.object_id, ps.database_id)        AS schema_name,
    OBJECT_NAME(ps.object_id, ps.database_id)               AS procedure_name,
    ps.execution_count,
    (ps.total_elapsed_time/1000.0)/NULLIF(ps.execution_count,0) AS avg_duration_ms,
    ps.last_execution_time
FROM sys.dm_exec_procedure_stats AS ps
WHERE ps.database_id > 4 AND ps.execution_count > 0
ORDER BY avg_duration_ms DESC;

What’s heavy right now (live view)?
-- Currently executing requests ordered by CPU time
SELECT
    r.session_id,
    r.status,
    DB_NAME(r.database_id)            AS database_name,
    r.cpu_time                        AS cpu_ms,         -- already in ms
    r.total_elapsed_time              AS elapsed_ms,     -- already in ms
    r.wait_type,
    r.wait_time,
    r.blocking_session_id,
    SUBSTRING(t.text, r.statement_start_offset/2 + 1,
        (CASE WHEN r.statement_end_offset = -1
              THEN DATALENGTH(t.text)
              ELSE r.statement_end_offset END - r.statement_start_offset)/2 + 1) AS running_statement
FROM sys.dm_exec_requests AS r
CROSS APPLY sys.dm_exec_sql_text(r.sql_handle) AS t
WHERE r.session_id <> @@SPID
ORDER BY r.cpu_time DESC;


If you see blocking_session_id populated, chase that session and fix the blocker first.

Group similar statements together (query_hash)
Same query text with different literals can appear as separate rows. Aggregate by query_hash to see the true top offenders.
-- Roll up by query_hash to combine similar statements
WITH q AS (
    SELECT
        qs.query_hash,
        qs.execution_count,
        qs.total_worker_time,
        qs.total_elapsed_time,
        qs.total_logical_reads + qs.total_physical_reads AS total_reads
    FROM sys.dm_exec_query_stats qs
)
SELECT TOP 20
    query_hash,
    SUM(execution_count)                                  AS executions,
    SUM(total_worker_time)/1000.0                         AS total_cpu_ms,
    (SUM(total_worker_time)/1000.0)/NULLIF(SUM(execution_count),0) AS avg_cpu_ms,
    (SUM(total_elapsed_time)/1000.0)/NULLIF(SUM(execution_count),0) AS avg_duration_ms,
    SUM(total_reads)                                      AS total_reads
FROM q
GROUP BY query_hash
ORDER BY total_cpu_ms DESC;

Filters you’ll actually use
Add these lines to any query above as needed:
-- Only one DB
WHERE DB_NAME(st.dbid) = 'YourDbName'

-- Only statements executed in the last day (approx; uses last_execution_time)
WHERE qs.last_execution_time >= DATEADD(DAY, -1, SYSUTCDATETIME())

-- Exclude trivial one-off executions
AND qs.execution_count >= 5

Read the numbers the right way

  • High total + low average: popular query. Optimize for throughput (indexing, cached plan quality).
  • Low total + very high average: rare but slow. Optimize for latency (rewrite, avoid RBAR/scalar UDFs, better joins).
  • High duration but modest CPU/IO: usually blocking or waits. Check wait_type, blocking_session_id, and missing indexes that cause scans.
  • Metrics reset when plans get evicted or the instance restarts. Treat them as a rolling window, not forever history.

Quick wins to try after you find a culprit

  • Add the right index (covering where needed). Look at the actual plan’s missing index hints, then design a lean index yourself (don’t blindly accept 12-column monsters).
  • Kill implicit conversions (mismatched data types, e.g., NVARCHAR vs INT).
  • Replace SELECT * with exact columns (cuts reads).
  • Update statistics if they’re stale; consider WITH RECOMPILE for bad parameter sniffing cases (sparingly).
  • Avoid scalar UDFs in hot paths; inline logic or use APPLY.
  • Batch big writes; keep transactions short.

Bonus: store a snapshot for trending
If you want a daily/15-minute snapshot to trend over time:
-- One-time setup
CREATE TABLE dbo.TopQuerySnapshot
(
    captured_at           DATETIME2 NOT NULL DEFAULT SYSUTCDATETIME(),
    database_name         SYSNAME,
    executions            BIGINT,
    total_cpu_ms          BIGINT,
    avg_cpu_ms            DECIMAL(18,2),
    avg_duration_ms       DECIMAL(18,2),
    total_reads           BIGINT,
    query_text            NVARCHAR(MAX)
);

-- Collector (schedule as an Agent Job)
INSERT INTO dbo.TopQuerySnapshot (database_name, executions, total_cpu_ms, avg_cpu_ms, avg_duration_ms, total_reads, query_text)
SELECT TOP 50
    DB_NAME(st.dbid),
    qs.execution_count,
    qs.total_worker_time/1000,
    (qs.total_worker_time/1000.0)/NULLIF(qs.execution_count,0),
    (qs.total_elapsed_time/1000.0)/NULLIF(qs.execution_count,0),
    (qs.total_logical_reads + qs.total_physical_reads),
    SUBSTRING(st.text, (qs.statement_start_offset/2)+1,
        ((CASE qs.statement_end_offset WHEN -1 THEN DATALENGTH(st.text) ELSE qs.statement_end_offset END - qs.statement_start_offset)/2) + 1)
FROM sys.dm_exec_query_stats qs
CROSS APPLY sys.dm_exec_sql_text(qs.sql_handle) st
ORDER BY qs.total_worker_time DESC;

Now you can chart trends and prove improvements.

Common questions
Does this include plans not in cache?

No. DMVs reflect what’s cached. For long-term history, enable Query Store (SQL Server 2016+) and analyze sys.query_store_runtime_stats.

What about currently blocked sessions?
Use the “live view” script; chase the blocking_session_id, then inspect that session’s SQL text and plan.

Conclusion

CPU comes first, followed by IO and duration. If users are currently complaining, use the live view. Check its strategy, add the appropriate index, correct data types, and retest when you've identified a heavy hitter. Big results are typically achieved with small, targeted modifications.

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