Exceptional -point (EP) sensors exhibit a square -root resonant frequency bifurcation in response to external perturbations, making them appear attractive for sensing applications. However, there is an open debate as to whether or not this sensitivity advantage is negated by additional noise in the system. We settle this debate by showing that increased fundamental noises of quantum and thermal origin in EP sensors, and in particular self-excited (or PT -symmetric) EP sensors, negate the sensitivity benefit. Accordingly, EP sensing schemes are only beneficial either with further quantum enhancement or if compared to sensors limited by technical noise. As many modern sensors are limited by technical noise, EP sensors may still find practical uses despite their lack of a fundamental advantage. Alternatively, we propose a quantumenhanced EP sensor that achieves a sensing advantage even when limited by quantum or thermal fluctuations.