It feels like time for a +40 Vitality augment in the game. I believe the 20 Vitality was separated from the Minos Helm back in Update 18 or somewhere in the far-distant past. In other words, we've been stuck with 20 Vitality for a long, long time. Longer even than it takes Elminster to introduce himself in Beyond the Rift. With more and more gear being given Vitality 44 or 47 having a 40 Vitality gem would fit within the current augment and item design parameters. Please and thank you!