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Yes. The VM configuration steps (q35, OVMF, disabling ballooning) are the same. The difference is in how you install drivers inside the VM — on Linux you’ll install the appropriate GPU driver package rather than a Windows installer. Display output and driver stability will vary by distro and GPU vendor.

You don’t strictly need it, but it makes the process significantly easier. If your CPU has integrated graphics, the host keeps a display adapter after the GPU is passed through. Without it, you’ll need to configure remote access to the host or use a second GPU as the host’s display.