Depending on your carrier, the process should only take a few minutes.

What Carriers Support Pixel Watch LTE?

This is a valid question, as there are some smartwatches that wont work with all carriers.

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This should take between one to two minutes, so patience is key here.

Provided that the eSIM is downloaded properly, the Pixel Watch should be activated with LTE support.

How to Update Google Pixel Watch - 1

How to Set Up LTE on Pixel Watch - 1

How to Set Up LTE on Pixel Watch - 2

How to Set Up LTE on Pixel Watch - 3