The insatiable aspect causes the soil temper for touch of death re-infect to stop working properly. Without the aspect, the temper allows you to easily sustain 3 ToD swarms at all times. With the aspect and no other changes, the re-infect rarely triggers. I tested a few dungeon runs with and without the aspect and in each run with the aspect, I was only able to keep one swarm up even in dense encounters. Without the aspect, I am able to get max swarms with only a few enemies present.
The aspect only seems to work with the temper correctly against target dummies and lone bosses, and even then, the moment any adds show up in a boss fight the swarms fail to sustain themselves.