I propose we remove vitality scaling as you level and make it so constitution gives a small amount of hp (15 is the number im thinking of atm) if these numbers are too low it can also be added to gear or increased.
I suggest this for 3 main reasons.
1. With this health will be more scarce and worth considering especially vs piercing
2. It will be more detrimental to have -cons applied through diseased and elf active
3. To increase the chance of being burst from full if you do not hybridize your stat distribution to tank magic and physical damage.
I am aware this makes the game harder since rather than bring cons to a point where you will want to level it, it will drag it down and force you to level it.