I'm a narcissist with some borderline traits, I can relate to some of this.
Quote:
it is almost as if I feel bad because they reacted towards me and not because I hurt their feelings.
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That sounds like how I react to things like that. If someone gets upset with me I get really angry/upset myself, but not because I hurt their feelings, it's because they reacted towards me in a way that I didn't like.
I fake empathy just about constantly because I don't feel it 98% of the time, the capability is deeply lodged in the back corners of my mind, but it hardly ever comes out.
I think the main difference between you and me is that I'm a lot more indifferent about my lack of empathy than you are. You seem to worry about it more, which most people would say is a good thing!
If empathy doesn't come naturally to you then I don't really see any problem with "faking" it. If you're not hurting anyone then why does it matter if it's "fake" or not?