@atmasphere Tube design is your domain so it is not wise for me to argue, but grounding tap of transformer’s secondary won’t make current return to GND. Transformer output is balanced, but stage driving primary might be not with one transformer tap returning current to GND.
I’m sure we can find many exotic configurations that could qualify as Fully Balanced, but PS Audio amp, that started all this, is not. It is single ended class D amp with differential input stage. Something should differentiate between this and fully balanced design, like one in the schematic I referred to. To me it is word "Fully" suggesting, all stages are balanced.