Strange Tach behaviour and engine issues after distributor service '85 HE v12

It’ quite possible that those two facts are related Rasmus.
If for example you have a leak in the intake of one cylinder, that cylinder would run very lean, probably misfiring, and the other 5 of the bank rich as the ECU will detect the lean mixture and add more fuel.

I would first sort out the leaks before anything else.

Check this recent thread, lots of useful info.