How do I make a composite key with SQL Server Management Studio?

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  1. Open the design table tab
  2. Highlight your two INT fields (Ctrl/Shift+click on the grey blocks in the very first column)
  3. Right click -> Set primary key

here is some code to do it:

-- Sample Table
create table myTable 
(
    Column1 int not null,
    Column2 int not null
)
GO

-- Add Constraint
ALTER TABLE myTable
    ADD CONSTRAINT pk_myConstraint PRIMARY KEY (Column1,Column2)
GO

I added the constraint as a separate statement because I presume your table has already been created.