Basically no, most people who smeg their cards do so because they go ahead and use a crappy vrm cooler then use something like Furmark to "test" their temps, and kill their VRM's. Almost every "review" thats used a 5850, well, deserve it. The older arctic cooling jobbies don't come with a specifically bigger vrm cooler, its completely ridiculous to use a cooler that was built years ago, that just happens to be pin hole compatible with a newer card, without making any checks as to if its suitable. The bit-tech/custom pc review(really the only one I've seen to kill their cards) managed to ignore all info on the web before their review which says the vrm cooler with the heatsink was in no way good enough, went ahead, installed it, ran furmark and fried the vrm's. They are stupid, its really that simple.
Make no mistake at all Furmark, is useless, its absolutely useless for stability testing, you can crash at 850Mhz in furmark and yet no game ever made will crash with the core at 1000Mhz. Furmark puts a completely unrealistic load on the card, one no game in the history of the universe will ever use. Furmark can induce temps on a 5850, on core and vrm, 10-20C higher than ANY game, Metro, Crysis, anything tough at all.
DO NOT USE FURMARK, its that simple, I actually wonder if furmark would kill some older cards if people bothered to try, with it only really beginning to be used under 4870 era, in which it crashed cards because it generated a vrm load literally not needed for any game, the 4870 never crashed under a single game, and still doesn't, but furmark would topple it.
That said, the prolimatech gpu cooler is the best one out there right now, Thermalright has a couple of solutions that are pretty decent, the Zalman is supposed to be good, no idea if its got some quality control issues with fans/shroud. Some amd cards have had fans that "slip" slightly and hit the shroud aswell, thats probably what it is, marginally faulty fans rather than the heatsink itself.
I did get myself all freaked out by vrm temps and ended up with a prolimatech and using a Thermalright vrm cooler with it, because of the shape/size of it, when I moved to a xfire setup it literally won't fit at all, so I've since removed it and put on the standard vrm cooler that comes with the prolimatech, no deaths, no crashing, no instability, no temp problems, nothing. The only problem that could occur is if I use the card killing and worthless output Furmark to artificially raise temps on the vrm's, I still guess, judging by their current temps, that they'd be absolutely fine but who knows.
If you won't use xfire or have no issues then theres no particular reason not to use a dedicated vrm cooler, the temps were lower, not massively, but they were lower and it was still more than safe temps with furmark.
The prolimatech gpu cooler itself, i went from an 5850 overclocked to 925Mhz or so with slight voltage bump, it wouldn't go any higher and it would go to 80-85c under load in the toughtest games, with the prolimatech I've gone to 1.3v, 1050Mhz, and load temps are 40-45c in the toughest games.