I just removed the plastic logo shroud that covered my Z590 heat-sink and got 8-10 degrees lower. From 75 to 65c at idle, below 70 at load. Only thing is that it leaves the Asus logo LED exposed.
The PCH is responsible for all peripheral devices - Ethernet, storage, USB etc. If you have the voltages too low these devices might not operate properly and may fail or corrupt data. I would tread lightly,
ROG Dark Hero Z790 | 13900KS @5.7 GHz | g.skill 2x48GB 6800 MT/s | ROG Strix 4070 Ti | EK Nucleus 360 Dark | 6TB SSD/nvme, 16TB external HDD | 2x 1440p | B&W 606 S3 speakers, Martin Sub, Audiolab 7000A amp| Fractal North XL case