I think it depends on the style and atmosphere you want to create in the room. If the room is a formal, traditional one like your picture, then one large showy pendant would look great. However if it is a modern or contemporary room then two ( or more) smaller pendants would be a nice feature. It would also pay to think about how much light you are expecting from the fitting, especially since it is a cathedral ceiling. Do you need the ceiling lights for good general lighting or just for atmosphere. Do you have any photos of your room so we can see a bit more?

Have you tried a custom lighting specialist?

I love three in ones because if one bulb explodes, you've usually got a fair few backups before you have to completely fix the bulb (but that's just the laziness in me coming out). In my opinion, I don't think you need a demisting mirror because that's what the fan is for in the three in one.

My partner and I are designing our new build and we are now up to lighting, in particular kitchen lighting. We are having non-exposed scissor trusses in the living area with a lowered flat ceiling (2.4m stud) over the kitchen. Do we need pendant lighting? I am torn. I feel they are dust and grease gatherers, but also a great visual feature. I have attached a picture of our plan and inspiration for the living area. I am extremely grateful for any advice!