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In this work, we study the impact of aspect ratio A = R0 /r (the ratio of major radius R0 to minor radius r) on the confinement benefits of Negative Triangularity (NT) plasma shaping. We use high-fidelity flux tube gyrokinetic GENE simulations and consider several different scenarios: four of them inspired by TCV experimental data, a scenario inspired by DIII-D experimental data and a scenario expected in the new SMART spherical tokamak. The present study reveals a surprising and non-trivial dependence. NT improves confinement at any value of A for ITG turbulence, while for TEM turbulence confinement is improved only in the case of large and conventional aspect ratios. Additionally, through a detailed study of a large aspect ratio case with pure ITG drive, we develop an intuitive physical picture that explains the beneficial effect of NT at large and conventional aspect ratios. This picture does not hold in TEM-dominated regimes, where a complex synergistic effect of many factors is found. Finally, we performed the first linear gyrokinetic simulations of SMART, finding that both NT and PT scenarios are dominated by micro-tearing-mode (MTM) turbulence and that NT is more susceptible to MTMs at tight aspect ratio. However, we found that a regime where ITG dominates in SMART can be found, and in this regime NT is more linearly stable.