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We study the long-standing open question on the power of unique witnesses in quantum protocols, which asks if UniqueQMA, a variant of QMA whose accepting witness space is 1-dimensional, contains QMA under quantum reductions. This work rules out any black-box reduction from QMA to UniqueQMA by showing a quantum oracle separation between BQP^UniqueQMA and QMA. This provides a contrast to the classical case, where the Valiant-Vazirani theorem shows a black-box randomized reduction from UniqueNP to NP, and suggests the need for studying the structure of the ground space of local Hamiltonians in distilling a potential unique witness. Via similar techniques, we show, relative to a quantum oracle, that QMA^QMA cannot decide quantum approximate counting, ruling out a quantum analogue of Stockmeyer’s algorithm in the black-box setting. Our results employ a subspace reflection oracle, previously considered in [Scott Aaronson and Greg Kuperberg, 2007; Scott Aaronson et al., 2020; She and Yuen, 2023], but we introduce new tools which allow us to exploit the unique witness constraint. We also show a strong "polarization" behavior of QMA circuits, which could be of independent interest in studying quantum polynomial hierarchies. We then ask a natural question; what structural properties of the local Hamiltonian problem can we exploit? We introduce a physically motivated candidate by showing that the ground energy of local Hamiltonians that satisfy a computational variant of the eigenstate thermalization hypothesis (ETH) can be estimated through a UniqueQMA protocol. Our protocol can be viewed as a quantum expander test in a low energy subspace of the Hamiltonian and verifies a unique entangled state across two copies of the subspace. This allows us to conclude that if UniqueQMA is not equivalent to QMA, then QMA-hard Hamiltonians must violate ETH under adversarial perturbations (more accurately, further assuming the quantum PCP conjecture if ETH only applies to extensive energy subspaces). Under the same assumption, this also serves as evidence that chaotic local Hamiltonians, such as the SYK model may be computationally simpler than general local Hamiltonians.