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Beyond that, if you normally seek out gemstones, this option might well result in more healing than what you get from Cthonic Vitality. And you get synergy from the Brilliant Gemstones contractor upgrade.
also in Styx Vitality heals after every mini-encounter which is a lot, and you can't even get Darkness there at all to my knowledge (i don't recall ever seeing a Darkness reward there, anyway)
overall Vitality is guaranteed, and Regeneration forces you to take Darkness rewards which have no benefit during a run, which can be a problem unless you're just farming
But if your worry is getting through Styx and having enough HP for Hades, then it is a bad choice as it is almost impossible to find Darkness in the temple. The only possibility is inside of a Charon Well and even then it's not likely, meanwhile every small room in Styx grants you the Vitality Healing.
So if you feel you need more healing for getting to the Temple than by all means Regeneration might be better for you. But if you take a lot of damage in the Temple or want to explore all 5 tunnels than you might prefer to take Vitality instead so you have enough health for Hades.
Both have merit it just depends on when you want the healing and where you need it, but you have to make your decision on that before the run starts.
With dark regeneration its very easy to get full HP after bosses and unless you actively avoid purple shards dark regeneration will also heal more during the run.