This is a linkpost for Von Neumann–Morgenstern utility theorem, which shows that one accepts 4 premises if and only if one maximises expected utility. In my mind, all the 4 premises are self-evident. So I do not see how one can reject maximising expected utility in principle. Relatedly, I think the Repugnant Conclusion follows from 3 self-evident premises.
In 1947, John von Neumann and Oskar Morgenstern proved that any individual whose preferences satisfied four axioms [premises] has a utility function, where such an individual's preferences can be represented on an interval scale [which "allows for defining the degree of difference between measurements"] and the individual will always prefer actions that maximize expected utility.[1] That is, they proved that an agent is (VNM-)rational [has preferences satisfying the 4 axioms] if and only if there exists a real-valued function u defined by possible outcomes such that every preference of the agent is characterized by maximizing the expected value of u, which can then be defined as the agent's VNM-utility (it is unique up to affine transformations i.e. adding a constant and multiplying by a positive scalar). No claim is made that the agent has a "conscious desire" to maximize u, only that u exists.
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Completeness assumes that an individual has well defined preferences:
Axiom 1 (Completeness) For any lotteries and , either or .
(the individual must express some preference or indifference[4]). Note that this implies reflexivity.
Transitivity assumes that preferences are consistent across any three options:
Axiom 2 (Transitivity) If and , then .
Continuity assumes that there is a "tipping point" between being better than and worse than a given middle option:
Axiom 3 (Continuity): If , then there exists a probability such that
where the notation on the left side refers to a situation in which is received with probability and is received with probability .
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Independence assumes that a preference holds independently of the probability of another outcome.
Axiom 4 (Independence): For any and (with the "irrelevant" part of the lottery underlined):
if and only if
In other words, the probabilities involving cancel out and don't affect our decision, because the probability of is the same in both lotteries.
If you allow arbitrarily large values and prospects with infinitely many different possible outcomes, then you can construct St Petersburg-like prospects, which have infinite expected value but only take finite value in every outcome. These violate Continuity (if it's meant to apply to all prospects, including ones with infinitely many possible outcomes). So from arbitrary large values, we violate Continuity.
We've also discussed this a bit before, and I don't expect to change your mind now, but I think actually infinite effects are quite plausible (mostly through acausal influence in a possibly spatially infinite universe), and I think it's unwarranted to assign them probability 0.
There are decision rules that are consistent with violations of Completeness. I'm guessing you want to treat incomparable prospects/lotteries as equivalent or that whenever you pick one prospect over another, the one you pick is at least as good as the latter, but this would force other constraints on how you compare prospects/lotteries that these decision rules for incomplete preferences don't.
You could read more about the relevant accounts of risk aversion and difference-making risk aversion, e.g. discussed here and here. Their motivations would explain why and how Independence is violated. To be clear, I'm not personally sold on them.