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This works well for us - although I'll admit that dropping to 0hp (well, below 0hp, the way we play it) also leads to an exhaustion level for us

Thanks :) Practically, it usually plays out as plot armour, but at a cost, and with an in-game explanation. Which I've appreciated when DMing: no need or temptation to water down encounters or fudge rolls.

We've been doing something similar for a while now - spend a Hit Die to add to a roll or spend an Exhaustion level to re-roll a roll. It works really well

Some higher ACs could be balanced with a penalty to d20 Tests. With the new exhaustion UA, you could gain 2 temporary levels of exhaustion while wearing some heavy armours and 1 while wearing some medium armours? Might make more of a genuine choice and the heaviest armour would be less appealing...

Instead of adjusting max dex, could you not just say that dex can't raise base AC above 17?

Agree, magic bonuses don't seem priced into monster scaling in 5e and this change would help bounded accuracy. Besides magic weapons feel more special with unique features like cantrips or limited-use spell-like effects, instead of static bonuses

I would love to see this as part of a +/-5, +/-10 Degree of Success system with d20 tests. If you want to go old school, Cindi Rice's swashbuckling rules from Dragon magazine #232 in 1996 looks brutally complex nowadays but was the first time I saw this done and sold me on degree of success in...

I got a bunch of these and rolling d4s has got a lot better...

Other DMG optional rules that could be looked at are Degrees of Failure & Success at a Cost. This could be better defined and also expanded to include Degree of Success. It could even be expanded to the other d20 tests with saves and even attack rolls, but I know that's more contentious!

Proficiency Dice can be used to improve bounded accuracy. When you have advantage, you only roll the proficiency die once. When you have expertise, that's when you roll your proficiency die with advantage (instead of the current system of rolling two proficiency dice and using both).

I think the higher level spells are still an issue. Warlock slots only go up to 5th level spells. Mystic Arcanum then allows you 6th-9th level spells, but only one of each per long rest. And these are also not regained by the Eldritch Master feature. So 1x per long rest really is ingrained for...

A single ASI plus a feat whenever you would normally get the double ASI/feat seems to work fine - we've been doing it in A5E, and in O5E before that. Oddly, may end up being "forward"-compatible with 1D&D...

True, so there is hope!

This. But my understanding is that Monsters of the Multiverse doesn't change with 1D&D, so they're a bit locked into the current race ASI system

My top 5 would be: Defense; Degree of Success; Overexertion; Stacking Advantage/Disadvantage; and Additional Weapon Properties

It's a good point and a dilemma that does currently come up, but currently only for the two-weapon rogues. Would be great if all rogues get something else to do with their bonus action that competes with cunning action, or if cunning action included more options - perhaps something that comes...