Several things.
First, Realbench does utilize the GPU and the CPU in rendering the test images. Most other stress tests do not, such as Prime95. I would also suggest you try out OCCT as a stress test. It has built in temp and voltage monitors.
Second, it's normal to not feel much air flow coming through a radiator or a case fan grill since these porous barriers "diffuse" the air flow. They are like baffles in an automobile muffler. Even if you go push/pull on the radiator fans you will not feel much difference if you put your hand in front of the radiator's exhaust fans. Radiator exhaust fans are starved for air because they can scavenge only the little air that is coming through the radiator.
Third, our assumptions lead to haste and waste. I removed the pull fans from my radiator this weekend just to test the difference it would make in temps. I was surprised to find that temps, both at idle and at load were maybe 1-2 higher than they were when using push-pull. One thing we need to realize is that these AIO water cooling systems are pretty much optimized from the factory. Push pull fan setups can help significantly with aftermarket radiators that are thicker and have higher fin density. Now that I have removed the pull fan from my radiator I have clearance for my longer video card again and my temps are essentially the same.
Fourth, Noctua's fans are consistently rated at the top of the list in customer reviews. They don't make bad fans. I think your expectations of how much exhaust air flow to expect to feel need adjustment rather than needing to replace the fans. The exception to that would be if the fans are not PWM. If then are not, I would replace them.
Fifth, if your vram is hitting over 100c I would look into whether or not the heatsink is making good contact. There has been a well documented problem with this with some of the 5700XT offerings but I wasn't aware of it with your particular card. But you should research it:
https://forums.tomshardware.com/threads/rx-5700-xt-runs-hot.3498959/
There is also a thread on this form in the AMD video card section that discusses the problem with poor contact of the heat sinks on some cards.
https://www.overclockers.com/forums...Strix-Fix-Another-Defective-Radeon-RX-5700-XT