So I can't contribute much to the groundwater topic. Ours is also installed indoors in the basement and the intake/exhaust air goes through light wells. Unfortunately, I can’t tell you exactly how it was with the groundwater, but we had to build with a white tank. Unfortunately, I also can’t tell you what was done with the light wells, whether they were sealed again, that might be the case, I just don’t remember anymore.
Regarding indoor installation:
It was also a topic for us that we couldn’t find a good place, with our neighbors who have the "same" plot the thing is basically next to the terrace. I think that’s terrible. At the spot where the light wells are now, three plots come together and three houses stand close to each other, back then (planning about 4 years ago) it was too risky for us regarding noise development. Today I might think about it again.
Indoor installation definitely also has disadvantages.
Efficiency, if there is any disadvantage at all there, I would disregard. Better to focus on making sure the rest of the setup fits. (Design, sizing, components e.g. without buffer, spacing etc.)
That influences efficiency much more than the indoor or outdoor issue.
Disadvantages, as partially already mentioned, you have to keep a very close eye on the planning and execution. The wall openings have to fit, be properly insulated, etc.
Crucial is sound decoupling. The indoor unit must stand on a properly decoupled base. Also, the pipes must be flexible etc. Otherwise, structure-borne noise transmits to the building.
Then you should definitely equip the utility room with a soundproof door. (Please also consider this in the ventilation planning if there is one, because with soundproofing an overflow doesn’t work).
Actually, from my current knowledge I would reconsider whether indoor or outdoor again. But for the reason that you are much freer in the choice of the heat pump and I believe the noise level of the outdoor units has actually improved significantly.
Should the device then need to be replaced hopefully in the distant future, there is always the option to choose an outdoor unit then. Of course, it is more effort because you have to close the wall openings again, but it’s not as if you’d have to rebuild the entire house.