I am honestly considering returning mine.
I purchased it with the intention of using it with a super small case. It IS undersized for the 11600K I am using it on, but for that use case I didn't think it would matter. It is being used to stream media and light gaming right now with future plans for a different case and water cooling when/if I can ever buy a GPU again.
I have run into a couple of issue. The first I mention above. I am using an MSI Z590I which has large heat sinks. If I align the cooler the way suggested in the above linked article both open sides of the fins are blocked by the RAM and VRM cooler. If I turn it 90* it is open but blows onto the memory VRM heatsink, and directly across the "M.2 stack" this mobo has. It also DOES have issue with wide RAM, like RGB and WILL push on wide RAM in the slot closest to the CPU.
Basically as it stands it only mounts one way without issue and blows CPU temp air across my M.2. While gaming, once the system gets heat soaked it has issue with the M.2 dropping out or lagging.
IMO this is one of those darned if you do and darned if you don't situation. Either you are left with clearance issues with the small case, OR you are left with this blowing hot air across your VRM/RAM/M.2 on an ITX build.