diff --git a/ibis/backends/mssql/__init__.py b/ibis/backends/mssql/__init__.py
index e24c88faf846..350fc5279bff 100644
--- a/ibis/backends/mssql/__init__.py
+++ b/ibis/backends/mssql/__init__.py
@@ -726,7 +726,7 @@ def create_table(
                     sge.Drop(kind="TABLE", this=this, exists=True).sql(self.dialect)
                 )
                 old = raw_table.sql(self.dialect)
-                new = raw_this.sql(self.dialect)
+                new = raw_this.name
                 cur.execute(f"EXEC sp_rename '{old}', '{new}'")
 
         if temp:
diff --git a/ibis/backends/tests/test_client.py b/ibis/backends/tests/test_client.py
index 3161c5a303dd..04a13b1dbf89 100644
--- a/ibis/backends/tests/test_client.py
+++ b/ibis/backends/tests/test_client.py
@@ -1855,6 +1855,21 @@ def test_table_not_found(con):
         con.table(gen_name("table_not_found"))
 
 
+@pytest.mark.parametrize(
+    "overwrite",
+    [
+        param(
+            True,
+            marks=[
+                pytest.mark.notimpl(
+                    ["mysql", "singlestoredb", "risingwave"],
+                    reason="Cross-database load fails with overwrite (needs investigation).",
+                )
+            ],
+        ),
+        False,
+    ],
+)
 @pytest.mark.notimpl(
     ["flink"], raises=com.IbisError, reason="not yet implemented for Flink"
 )
@@ -1863,7 +1878,7 @@ def test_table_not_found(con):
     raises=AssertionError,
     reason="Schema resolution issue with cross-database table loading in Materialize (needs investigation).",
 )
-def test_no_accidental_cross_database_table_load(con_create_database):
+def test_no_accidental_cross_database_table_load(con_create_database, overwrite):
     con = con_create_database
 
     # Create an extra database
@@ -1874,7 +1889,9 @@ def test_no_accidental_cross_database_table_load(con_create_database):
         table := gen_name("table"), schema=(sch1 := ibis.schema({"a": "int"}))
     )
 
-    con.create_table(table, schema=ibis.schema({"b": "string"}), database=dbname)
+    con.create_table(
+        table, schema=ibis.schema({"b": "string"}), database=dbname, overwrite=overwrite
+    )
 
     # Can grab table object from current db:
     t = con.table(table)