There are basically two issues I have with the altimeter of the Fenix 5 Plus.
The first is concerning the manual altitude calibration which does not allow you to enter a negative number. Since I live in the Netherlands the chance of being somewhere below sea level is substantial and it would be nice to be able to enter a level below sea level manually.
The second thing is the automatic calibration during activities. When you do a calibration you can choose between manual, DEM or GPS. Using DEM is usually accurate and that is what I mostly use to calibrate the altitude. During activities it only uses the GPS altitude and not the DEM data. It should not be that dificult in my opinion to use DEM during automatic calibration during activities.