What should I do about too many repeated passwords?

If your vault is in such a state, then I would recommend that you create a vault export, purge your vault contents, and then use an external deduplication tool (for example, if you export in .csv format, you can use Excel or any other spreadsheet app to deduplicate your data) before importing the deduplicated file back into your (now empty) vault.

Bitwarden does not currently have any automated deduplication tools, although the “Re-Used Passwords” report might help you find duplicate entries.

Here are two relevant feature requests threads:

 

The first of these contains several suggested work-arounds, including at least one user-contributed deduplication script.

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