I understand why $f : \mathbb{R} \to \mathbb{R}$ with $f'(x) = f(x)$ and $f(0) = 1$ must be $f (x) = e^x$, but I don't really feel it is super intuitive. Intuitively, why would you expect such a function to satisfy $$f(a)f(b) = f(a+b)$$ or have exponential growth?
To build intuition, I tried the discrete case first, i.e.,
$$\frac{f(x+h) - f(x)}{h} = f(x) \implies f(x+h) = f(x)(h+1)$$
so
$$f(y) = f(0) (1+h)^{\frac{y}{h}} = f(0) c_h^{y}$$
where $c_h = (1+h)^{\frac{1}{h}}$ and saw what happens when $h \to 0$. However, I'm interested in a more intuitive explanation, if there's one. Bonus if it also explains $y' = P'y \Rightarrow y = Ce^P$ in a nice intuitive way.

Depending on how familiar you are with Calculus, you would find that the most important intuitive marker for this property $f'(x)=f(x)$ or $\frac{dy}{dx} \implies y=e^x$ is that the derivative of the exponential function is the exponential itself. Provided that you are familiar with the derivation (such as it is), the following might prove helpful-
You know that the slope of the function $f(x)$ that you are dealing with equals it's value at the point.
Think, what does this imply ?
Case - 1
The slope if 0 at a point where the function takes value 0. This is the straight line $y=0$.
Case - 2
The function takes a positive value at some point. Then it must have a positive slope at that point, implying that it's value increases there. So, it's value keeps increasing and so does its slope- the rate of increase in its value.
What does that mean? That the value of the function keeps increasing at an ever increasing rate. Intuitively, this suggests exponential growth.
Case-3
Finally, consider the case where the function takes a negative value somewhere. Now, it is negatively sloped, and it's value decreases at an ever increasing (or should I call that decreasing?) rate.
Thus, there are $3$ cases- exponential increase and decrease and the singular solution on the x-axis. All these can be recovered explicitly by solving the original differential equation are varying bthe values of the constants involved (or equivalently, changing the initial conditions of the IVP).
Of course there are also the cases of exponential decay (they don't arise in this case, but can if the constant $k$ in $f'(x)=k\cdot f(x)$ is negative and so, thinking about these might prove helpful in gaining understanding) but they are intuitively similar, now the value decreases and so does its rate of decrease (or otherwise, just the above argument along the negative x direction).
In the end however, you simply need to get familiar with this - spend time solving problems and thinking about it. Solving the problem from first principles (using limits and Riemann sums) may help, but not much.