Hi Daniel Wax,
Thank you for your updated information.
Yes, VREFH can be connected to the source less than VDDA, from the datasheet, we can know the VREFH range:

But, please note , the VDD-VDDA can't be largher than +/- 100mV.

The 64 pin package, VDDA and VREFH connected together internally.
So, not the VREFH limit the voltage range, it is VDDA.
Do you mean our customer already use the 64 pin package, and connect VDDA to 1.65V, VDD 3.3V in the application for a couple years?
About what could possibly get damaged with this wrong setup, I think we need to check it with our design department.
I find you are my colleague, actually, we have a internal community for NXP internal engineer to post the question:
Kinetis Support
Can you enter it?
If you can't enter it, I will help you check the details from our internal side.
Have a great day,
Kerry
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