
What I've noticed is that there can be a pretty big difference between Pi5 units. I have two... bought about two months apart from the same source on Amazon for the same price... (actually I think #2 might have been a couple dollars cheaper). I bought the stock Raspberry Pi branded active cooler for each. I removed the little thermal tab from the CPU of each and replaced it with Arctic Silver Ceramique thermal compound.
Pi5 #1 is in my vertical cabinet. Pi5 #2 is in my horizontal cabinet.
Pi5 #1 is currently running:
over_voltage_delta=15000
arm_freq=3100
gpu_freq=1100
...and after 20 minutes, my laser temperature gun read is averaging readings at the heatsink in the lower 80f range... with NOTHING on the card that I can point at coming in above 90f. This card runs VERY cool.
Pi5 #2 is currently running:
over_voltage_delta=15000
arm_freq=2900
gpu_freq=1050
This Pi crashes after some time at 2900 at the CPU running stock voltage. It ran for about 8 hours solid at over_voltage_delta=25000... but was running pretty damn hot compared to the Pi5 #1 (which at the time was at CPU 3000 GPU 1000). About 10 degrees f hotter. I backed down the voltage to 15000 to see what that does to the heat. I'm getting pretty close to the max on this Pi... at least for the CPU. I might be able to push the GPU to 1100... we'll see. And my first temp check remains consistent with my priors... this card is running about 10 degrees hotter... consistently... than it's brother... but it's been running solid with the 15000mv boost... no need to go to 25000. If it stays solid for a while longer I'll try to push the GPU a little more. We'll see. The hottest point on this card I saw the temp hit 99f...
FWIW... for testing, I run Deathsmiles on the horizontal cabinet and Pink Sweets on the vertical. I also test in attract mode just running. If you can think of any game for both vertical and horizontal that might push the system harder... let me know.

BTW... is there any easy/built in way to monitor actual CPU die temps? The maximum temp before throttling is 80c (176f)... with the maximum temp being 85c (185f). I can't imagine the die is rocking anything close to 176f when the heatsink is maxing out at under 100f (38c)...