Once installed, on certain pages Nginx will throw upstream sent too big header while reading response header from upstream and cause 502s.
After looking into it, this module might have a hand in it due to the amount of links it can add in a bloated Magento install.
I've ran into it myself making a similar extension for Laravel.
My solution was to implement a configurable size limit which removes links until the size limit is reached.
https://github.com/justbetter/laravel-http3earlyhints/blob/76f012e994cabde3b8f4c75889704546747ae760/src/Middleware/AddHttp3EarlyHints.php#L149
I think this might be a nice solution for this package as well