>EDIT: My current printout is 46 pages long.

Wow. Roughly how many entries do you have and how do you handle updates? I'm often being asked to change passwords and of course create new login entries.

57 groups, 307 entries. I try to reprint whenever I get an oil change (so a few times a year).

I don't reprint for every password change. I will for major accounts. I will also immediately print for certain new accounts but not all (e.g. I didn't reprint for my HN account).

The Strongbox printout has the last printed date on it and my KeePass plugin even includes the SHA256 of the KDBX file just to be sure.