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My HM Aeron is 20 years old. It has seen an embarrassing amount of use, as I've worked from home for over that length of time. It's served me well but it's not without its issues.
What I found at the start, and continue to find, is that it rolls the pelvis and c-curves the spine at the lower back. This loads the lumbar with a lot of force.
What I'm looking for now is a true tilter - not a mere recliner - that keeps the hip angle closed as it tilts. The rolling action on the hips is reduced, and lumbar support won't drift around. This is proving a challenge.
My physio and I disagree on headrests. so I look for one without his blessing or support. The force on the neck due is ideally reduced as well with one.
I also never found the Aeron comfortable on my back, though I also saw tons of them break in our office which seems weird and not a common experience. The most comfortable office chair I've owned was from HON. It was their "pillow soft" high back executive chair. I still have mine after several years, but I had to transition to a mostly standing desk recently, so I'm not using it currently.