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If it becomes a problem, I've found two other options mentioned in a thread here https://forums.servethehome.com/index.php?threads/anyone-confirm-getting-rev-2-epyc-7002-boards.26069/page-2#post-240903
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Since this exchange, a new SP3 EPYC heatsink contender has appeared: the Arctic Cooling SP3.
It's hench; much bigger than any other SP3 cooler, allowing the use of 120mm fans. It comes with integrated 120mm fans, which are dogshit (two of the four units I bought had faulty fans), so I replaced them with Noctua Industrial 3000rpm.
As you can see, the heatsink has the orthodox orientation for the SP3 EPYC socket. Temperatures are a full 15degC lower than with the previous best Noctua cooler.
It would, but it’s designed for Threadripper motherboards that share the same socket as EPYC but are usually oriented at 90deg.
All other correctly-oriented EPYC heatsinks are tiny, made for 1U/2U chassis and are much shitter at cooling a ~200W CPU than the Noctua at a jaunty angle.