Its hard to say.
But in normal designs "simple" routing is gonna produce plenty of (unfixable) DRCs. You may need to decrease the density of design, therefore worse area utilization.
Using lower layer of metals may decrease the PPA because it has worse resistance.
Using higher layers may improve PPA, but since higher levels are simply less dense, chances are, you will get routing congestions and DRCs, therefore worse area utilization.
There is no good answer here imho