Sony RX100 VA has a 20.0MP 1″ (13.2 x 8.8 mm ) sized BSI-CMOS sensor and features Bionz X processor. On the other hand, Leica Q2 Monochrom has a 47.0MP Full frame (36 x 24 mm ) sized CMOS sensor .
Leica Q2 Monochrom's sensor provides 27MP more than Sony RX100 VA'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.
One other difference between these two cameras that is worth mentioning is that Leica Q2 Monochrom's sensor doesn't have an 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 RX100 VA and Q2 Monochrom sensor size comparison.
As seen above, Leica Q2 Monochrom has a 7.4x Larger sensor area than Sony RX100 VA. Larger sensors give photographer more control on the depth of field and blurry background compared to smaller sensor when shot in same focal length and aperture.