Sony RX1R II has a 42.0MP Full frame (35.9 x 24 mm ) sized BSI-CMOS sensor and features BIONZ X processor. On the other hand, Leica Q has a 24.0MP Full frame (36 x 24 mm ) sized CMOS sensor and features Maestro II processor. Sony RX1R II's sensor provides 18MP more than Leica Q's sensor, which gives a significant advantage in real life. You can print your images larger or crop more freely.
On the other hand, please keep in mind that Max sensor resolution is not the only determinant of resolving power. Factors such as the optical elements, low pass filter, pixel size and sensor technology also affects the final resolution of the captured image.
Another difference between these two cameras is that Sony RX1R II's sensor lacks anti-alias (Low-Pass) filter. Removing anti-alias filter increases the sharpness and level of detail but at the same time, it increases the chance of moire occurring in certain scenes.
Below you can see the RX1R II and Q Typ 116 sensor size comparison.
Sony RX1R II and Leica Q have almost the same sensor size so none of them has any significant advantage over other in this area.