The problem concerns drainage networks, which are therefore drawn with slopes.
When a 45° tee is placed on a sloped network, Revit attempts to draw the pipe at a 45° angle but without considering the slope, which causes errors and impossible connections.
In the screenshot, in a section view, when zooming in, you can see that the upper pipe is not parallel and is not connected.
In general, any modification becomes impossible as soon as a slope is present in a network. Connections break, fittings disappear, slopes are altered, etc.
There is a huge amount of work needed to make the drainage system functional because, as it stands, it is completely unusable.
I won’t list everything, but here are a few other inconsistencies:
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