Nearly everything:
Exponent required
Mersenne prime exponents only, and not on first kind cunningham chains except two places.
Fermat power of two exponent
Factor type
Mersenne $q=2kp+1$ for prime exponent $p$, $q\equiv \pm 1 \pmod 8$ restricting $k$ ( modified P-1 used as well as TF)
Fermat $j\cdot 2^{n+2} +1$ with restrictions on $j$ fully dependent on $n$
Primality test
Mersenne iterating $x^2-2$ from a starting value of 4, $p-2$ times, attempting to show $s_{p-2}\equiv 0\pmod {2^p-1}$ ( traditionally, now pretested via a PRP and checked with error checking)
Fermat repeated squaring to show $3^{{F_n-1 \over 2}}\equiv -1\pmod {F_n}$
Growth
Mersenne numbers( non prime exponent definition) double and add 1.
Fermat numbers $F_n=(F_{n-1}-1)^2+1$ or in comparison to a Double Mersenne ( a Mersenne number with Mersenne exponent) $F_n=2\cdot M_{M_n}+3$
Double Mersenne facts : $M_{M_n}=2M_{M_{n-1}}^2+4\cdot M_{M_{n-1}}+1$ prime final exponents $p$ have factors that are of form $2j(2kp+1)+1= 4kjp+(2j+1)$
There are heuristics you can throw around, but in the end heuristic arguments are hard to test for Fermat numbers due to size ( We'll probably factor $M_{M_{127}}$ before $F_{127}$)