It has already been confirmed by major people in the community that designs, ref or not, that use a conventional cooler do not exhibit the issue, and will reach

It has already been confirmed by major people in the community that designs, ref or not, that use a conventional cooler do not exhibit the issue, and will reach about 85c (ie, normal) at 100% load. The dead giveaway isn't that the chip reaches 110c, it's that the entire card gets so hot (due to manufacturing error of the vapor chamber, independently verified by the community and AMD both), that RAM starts throttling too (ie, identical to the 3090 issue with the special Micron GDDR6, and glad to see AMD also adopt RAM temp throttling), and that has not been observed on any non-vapor chamber card and also any vapor chamber that doesn't have the issue.