They mean almost nothing. Other people will say differently. But you have to read reviews from trusted sites who actually test the full output power in order to know how accurate those numbers are.
Watts are simple math, amps times volts. 12 amps times 12 volts equals 144 watts, for example. But you might find a cheap power supply that claims 30A on the 12v rail and is only capable of 28A, and starts dropping voltage at 20A, which means for all intents and purposes it's only a 20A rail. It's the things they don't tell you that make the difference.
Another thing they don't tell you is, how many capacitors are inside, how many filter coils, or how good those parts are. I repair power supplies that have died within a few weaks at 1/2 their rating.
And one more thing, a power supply with poor filtration can make your entire system unstable. Of course, you can help a cheap power supply allong by putting it behind an expensive Uniteruptable Power Supply.
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