Reposting from https://community.playfab.com/questions/142503/playfab-unity-20223-dedicated-server-unhealthy-was.html and adding more.
I too updated to 2022 recently, and didn't attempt a new server build until today...
Same issue.
Once 'Allow Downloads over HTTP' was enabled in Unity settings, it seemed to work again (and I had no changes to my code outside of a Playfab SDK upgrade, but I tested without the upgrade too).
That option above does not exist in Unity 2021, but does in 2022 and when I toggled it - the server builds deployed as normal (still need to do some testing but so far appears correct).
Running the MockAgent doesn't yield any issue for me as the server heartbeat works, activates and terminates without issue.
Looking for some clarity here.
Appendix: Unity option - https://docs.unity3d.com/ScriptReference/PlayerSettings-insecureHttpOption.html