FYI if your instances are behind an Application Load Balancer or Classic Load Balancer then they are protected, but NOT if they are behind a Network Load Balancer.
A patched kernel is available for Amazon Linux 1 and 2, so you won't have to disable SACK. You can run "sudo yum update kernel" to get it, but of course you have to reboot. Updated AMIs are also available.
Amazon Linux 1: https://alas.aws.amazon.com/ALAS-2019-1222.html Amazon Linux 2: https://alas.aws.amazon.com/AL2/ALAS-2019-1222.html
For Amazon Linux 2 the fixed kernel is kernel-4.14.123-111.109.amzn2. Looking at my instances, it look like I have been on that version since Friday.