Had less than a week using mine but after some finding a stable power limit and undervolt I'm very happy.
To elaborate, full power draw and maxed out fans on the Sapphire Nitro+ is very loud. But it's as simple as putting on the -30% power limit and whatever undervolt you can manage from the silicon lottery and you're good to go. I though -50mv was my stable level but Elden Ring can still crash out so I set a hame profile that is only -40mv and it seems to be fine.
I haven't tried anything new or particularly demanding yet, but so far at 1440p I'm often maxing out my monitor's 180hz, all while being very comfortably quiet.
I need to look into
Akuji
's suggestion of Optiscaler and see how W3 plays with upgraded IQ.