Having just spent a bit north of $1k on a new CPU, RAM, and mobo for my desktop, I'm having a bit of sticker shock (in a good way) at how low these RPi prices are.
Doesn't look as flashy as the Flirc case, but cooling performance is supposed to be similar and you can access all the pins.
I have several pi in flirc cases, one is a pihole and one runs CI jobs (slowly) for PhotoStructure, and they don't get too hot even under sustained cpu load.
Flirc cases are great.
https://www.seeedstudio.com/ICE-Tower-CPU-Cooling-Fan-for-Ra...
I had a passive aluminum block heat spreader on it, and that works if you have good thermal bonding, unless you are really working it for a long duration. The problem is, if you hammer it long enough to throttle, that same mass takes a long time to cool back down.
The fan shim on a naked card just seems to work.
https://shop.pimoroni.com/products/aluminium-heatsink-case-f...