Gen III Hemi LSA vs wedge engine.

From the little I have found on the subject, piston to valve clearance is an issue as overlap increases. I have also found information that Hemi's need less overlap due to the ports flowing straight on from one to another.

What I have not found much of is dyno testing on Gen 3 Hemi engines where camshaft swaps are done to test LSA. Frankly many of the test I have come across are not using what I would really call aggressive cams. Perhaps due to the engines being EFI and not needed, supercharged applications, or simply lack of variety of grinds. I realize I will be in a minority with my build of naturally aspirated with carbs, or possibly carb style EFI.
I'm no expert, but most of the shelf cams you will find are for a stock piston. Which means a narrower LSA can lead to PTV clearance issues like you mentioned. There's plenty of options out there now and several of them are very similar specs. It is also easier to tune EFI if you have good manifold vacuum.