Some data points:
With the rear 120mm case fan detached and blowing at the VRMs at an angle, throttling would improve but not disappear. Since the board was pushing Vcore of 1.33 under load at 'auto' for 44x, I went down to a negative offset such that peak draw is closer to 1.3v, reducing throttling further but not eliminating it.
At this point I should probably drop the offset as far as I can to be stable at 44x and call it a day.
Going the other way, up, it looks like I'm hitting a voltage wall. 46x after upping offset to get 1.4v at load still crashed small FFT fairly quickly. I was hoping for 47x, which may need ~1.45v but probably not with this board.
Or I can get creative with a dremel/hacksaw and fab bigger sinks for the vrm's from some old socket A parts.
Just try try thinker thermal pads from 3M: https://www.3m.com/3M/en_US/company...terface-Pad-5519/?N=5002385+3294001841&rt=rud