I'm A Banana
Potassium-Rich
If it's an item anyone can buy then it's effectively an ability anyone can have so everyone gets spike healing - see my comments earlier about that.
You're wrong there. Plate mail is available, and not everyone uses plate mail, right? Warhorses are available, and not everyone uses mounts, right? Greatswords are available, and not everyone uses bastard swords, right? Not everyone is running around with the same set of equipment. Various costs (gp, proficiencies, various trade-offs) keep them in the hands of people who want to use them. If this was an item akin to plate mail or a greatsword, it would have those same limitations (whatever they were), and wouldn't be any more ubiquitous than any other piece of equipment.
If it's an item that only a warlord can use then for most practical purposes it's a warlord class feature with a minor gear limitation applied. If it's an item you need a feat to use then it's a feat with a minor gear limitation applied.
If it's an item like plate mail that anyone COULD use, but that various trade-offs and hurdles stop EVERYONE from using it?
What are the pre-requisites for using this thing? Because the item nature you've given it is simply a special effect.
What are the prerequisites for warhorses? For shields? For bastard swords? For plate mail? This would slot into that. It would have the same kinds of requirements.
What makes you think that +1 to an ability score is that powerful? First it can get overriden by e.g. Gauntlets of Ogre Power, or the monk capstone ability that sets all stats to 20.
It duplicates one of the most reliable effects of one of the most powerful spells in the game. It stacks. With itself, and with other boosting effects. It is permanent, irrevocable, without a down-side, and of clear and direct benefit. Even if it was only a +1 to hit after two uses, a +1 to hit is nothing to sneeze at in a bounded accuracy system. What's an extra 1d8 hp each encounter, an extra round of fighting?
...but that's kind of a sidetrack. The point there wasn't a direct comparison, but more, again, "Accept that X is true." There's evidence that feats in 5e are going to be big, so accept that they're big enough to contain this (however big that needs to be for you).
A feat that then contains this effect -- does this satisfy your need for a non-magical spike healing effect in the game? Or is your concern something other/more detailed than just a non-magical spike healing effect?
But in Next the value of the feats would be much, much greater because spike healing is fundamentally rare and spike healing is one of those things made more valuable by scarcity.
Imagine they are that great. Imagine this container is big enough. Would you still miss a warlord class? If so, what are your criteria other than non-magical spike healing?
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