True or False: An internal load balancer distributes traffic to EC2 instances from clients with access to the VPC for the load balancer.

An internal load balancer is designed to distribute network traffic among EC2 instances that are within the same Virtual Private Cloud (VPC). This means it can only receive traffic from clients that have access to the VPC where the load balancer is deployed. Internal load balancers facilitate communication between services internally, often used for microservices architectures or applications that do not need to expose services to the internet.

Given this design, it is true that an internal load balancer distributes traffic to EC2 instances specifically from clients that are within the VPC and have the appropriate access, making the statement accurate.

Other options address scenarios such as external access or dependency on configuration, which do not apply to the fundamental operation of an internal load balancer. These internal load balancers are not intended for traffic from the internet; hence, they operate solely based on internal networking within the VPC.