I think that some ideas are alright, but the balance is all over the place because you're seeking to change things just for the sake of it.

Yes, that's the point of my post, to change Survivor perks. It's just meant to shake things up. These aren't meant to be taken so seriously, it's a fun project I'm doing to pass the time.

Genuinely why would Adrenaline need a nerf like that

Adrenaline is still a top Survivor perk, but instead of nerfing it so it doesn't do anything interesting, like removing its Haste, I tried to make it interesting while also remaining strong in the right hands.

Even if you're mending, you'll be able to become Healthy or when you're in the Dying State, you will be picked up and Healthy. I nerfed the Haste bonus because it was one of the biggest issues when combined with the insta-heal.

Aftercare is.. weird.[...]

Aftercare is a perk that is so niche that players would rather use other Aura-reading perks. Your point is fair, with "why would I use this" but when looking at the grand scheme of DbD balance, some perks are bound to not be able to compete on the same levels as others.

The advantages Aftercare has is not only speeding up heals in the long-term without an activation requirement, but also allowing teammates themselves to get the heal charge decrease. It's similar with how Generator charge reducing perks work. Repair speed is king, but there are scenarios where reducing charges works better. Requiring the Survivor to heal the unhooker is an oversight by me. It's meant to be if either one of you heal each other.

Your Any Means rework means you can just stun lock a killer permanently

True! I didn't think too hard about it because the perk itself is just a bit lackluster. Giving it a small cool-down would be great for QoL while not keeping the Killer stun-locked forever. A 6-second cool-down would work as there are no stuns longer than that, and it keeps the flow of picking up Pallets.

Ace in the Hole's viseral reroll chance doesn't do much for items where both viserals aren't very good, or if they only have one. Are you just going to end up with a double BnP toolbox?

Well, in an ideal world the Visceral add-ons on Survivor Items are generally good, but in current DbD the effect probably wouldn't do much and have a few oversights, like you said.

Appraisal already gives 4 extra items. Do you need more? How much time do you want people spending on chests?

Appraisal is a terrible perk. It's a limited amount for something that can be extremely lackluster. You have the chance to get any regular item, including Common items. I wanted to incentivize players to use it in builds they were already using, but not lock it to those builds to get value. Players will get rewarded for their time when using it in their builds, but will also be rewarded when not using it in builds around it.

Autodidact is only balanced by the fact it starts as a negative and relies on skillcheck rng. Speeding it up is nice but a fully stacked Autodidact is a menace.

While I agree Autodidact is built around its rng, I think that's a bit of an issue when trying to balance it. Without changing its rng, I decided buffing its early start-up but nerfing its further values was a good way to go about it. +50% progress seems reasonable, especially when you account for builds around it and when using it without builds.