Final answer:
Users can create databases in Azure SQL if they have been granted the necessary permissions, typically the dbmanager role, by an administrator.
Step-by-step explanation:
In Azure SQL, the ability to create databases is determined by the user's permissions. By default, users do not have this ability. A user must be assigned the necessary role or permissions, such as the dbmanager role within SQL Azure, to create databases. This role can be granted by an administrator who has the appropriate privileges. So, to answer the question: it's conditionally true that users can create databases in Azure SQL, provided that they have been given the necessary permissions by the system administrator.