The composite sort key pattern in DynamoDB helps organize and query data efficiently. First, you select items by their partition key, which groups related data. Then, you apply a condition on the sort key, which is a combined string of multiple values like year and order number. This filters and sorts the items in one step. The execution table shows how the query starts with all items for a user, filters to those starting with 'Order#2023#', sorts them, and returns the final list. Variables like PartitionKey and SortKey condition remain constant, while matched items change as filtering and sorting happen. Key moments clarify why the composite sort key is useful and what happens if the sort key condition is missing. The quiz tests understanding of sorting step, matched items after filtering, and effects of changing the sort key prefix. The snapshot summarizes the pattern as a way to combine multiple criteria into one key for efficient querying.