It can happen but it is incredibly rare for an update to cause that kind of chaos. I've had it happen to me and usually it was my fault from a variety of reasons. Windows actually does a decent job warning you. But sometimes shit does happen. There are just so many variables to consider these days for what made an update throw a tantrum. Was it a driver? Was it a system file that was corrupted? Could the HDD be showing signs of trouble? Who the hell knows. It's legitimately a coin toss if something happens. It is why update usually always makes a restore point for you in the event something does happen and you can just load in through safe mode to revert it.

Oh no no, it didn't start acting up AFTER the update, it had an update queued up and began to act up to goad me into restarting the computer to install it. The performance tanked, making everything super laggy, it pretended to not hear me when I tried to use my tablet and art apps and the coup de grace, it did this thing where it confuses itself into having this Sticky Keys-like mode stuck on where it acts like I'm always doing "Ctrl+Click" instead of just clicking.

It always does this when and only if there's an update that it wants me to restart the PC to install and all of these afflictions magically disappear when I restart the PC and allow it to update. Just doing a normal restart can get rid of it temporarily but it'll always come back in due time until I let the update run.

Odd. Very very odd behavior. Legit never had that happen.