While I've yet to have this problem, I've actually been mentally keeping track of my ability to bootstrap back up. LastPass is trying to get me to add TOTP or other 2FA, but even though it promises (for now) that my master password can still get me in, I've resisted, because the password manager is my linchpin, and I
need to be able to get in there just with "what I remember", and I don't want another way in where I'm not continually practicing that and keeping the memory fresh.
I also every so often take a backup of the LastPass DB and put it on my local Nextcloud, which get encrypted backup to S3 every night.
2FA is a lot less scary at work, where I have administrators and coworkers who can vouch for me face-to-face and reset it if necessary. I feel like there isn't a widespread understanding that personal authentication is a much harder problem than corporate authentication for that reason. It is easy to end up accidentally webbing together all your personal authentication until your current phone is your one and only token. Heck, with all the 2FA flying around now it's probably possible to get yourself into a situation where the only way to authenticate is using something else you're already authenticated to and you can't bootstrap back up if that expires unexpectedly. If we're not there we're getting close.