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There could be several reasons for not being able to create a new table through the use of the CREATE TABLE query alone, including:

1. Lack of Permission: The user executing the query may not have the necessary permissions to create a new table in the database.

2. Incorrect Syntax: The SQL syntax used to create the table may be incorrect or invalid, which prevents the table from being created.

3. Existing Table with the Same Name: A table with the same name as the one being created may already exist in the database, which prevents the new table from being created.

4. Insufficient Space: The database may not have enough space to create a new table, which causes the query to fail.

5. Database Server Issues: The database server may be experiencing technical issues, such as network connectivity problems or hardware failure, which prevent the CREATE TABLE query from being executed successfully.