Sensitivity analysis applies the extreme values of each tolerance one item at a time and computes the change in the reference merit. What you get is the contribution per item, readable as a ranking of which errors matter. Because extremes are applied one at a time by construction, interaction between several errors occurring together is not included.
Monte Carlo analysis generates statistical samples according to the tolerance model you have defined. In one trial, every toleranced item is set at random from its allowed range and distribution. Repeating trials gives the statistical distribution of production performance and the fraction meeting the specification. The distribution can be normal, uniform or parabolic, the default being a normal distribution spanning four standard deviations between the maximum and minimum of the allowed range. Rather than a calculation that moves all items at once, it is an analysis whose result is decided by which distribution you assume.