And?
Is someone holding a gun to an OEM's head forcing them to integrate it? Are there truly no products for which their highest TDP processors are not feasible or the correct choice to use? Are OEM's clueless for recognizing the portion of the market who are willing to purchase machines with those chips?
The answer to all those questions is no, and I would really rather the market offer options if someone has use for them than discard them because most don't. Heck, there's a non-zero portion of the market that would love it if Apple had a M2 Ultra Macbook as an optiopn
Yeah.
I've helped people assemble computers many times since it was released, and it's only really in really tight spaces where'd I'd recommend others if a non-stock cooler is being consider (outside of visual design requests). Availability is a factor of course, but I haven't come across a situation where at least one of the PA120 (SE or not) coolers wasn't available pretty easily online.