On the 5850 I was using one of the Thermalright vrm coolers, forget which one its called, but one where the sink basically sat about 2mm infront of my IFX-14 cpu cooler so VRM temps were awesome. IT doesn't ruddy fit on the 6950 as the higher pieces to the left of the VRM's is higher on the 6950. In the end I couldn't be bothered to cut the vrm cooler up though I got the impression if I cut that part off it would probably work fine and I don't have a decent none broken hacksaw around with a metal cutting blade so can't cut the VRM sink easily either.
THe VRM temps are actually not bad, considering half the reviews would show better overclocking on 5870's but show worse than stock VRM temps pushing 100C or more, those things are designed to take some serious heat, the 6970/50 VRM's certainly run cooler by a huge amount. The painfully small looking heatsinks I'm using are probably running as hot as the Thermalright cooler on the 5850, though the Prolimatech 5870 heatsink ran a good 15-20C hotter (about the same as the stock sink) so the Thermalright was certainly a good cooler, the new VRM's are massively improved for sure.
I think, despite its size, the prolimatech just starts to gain too much heat under a 6970 with +20% powertune and higher voltage loads. A 5850 + 1050Mhz + 1.3v was probably around the 210-220W mark, and thats about borderline for the heatsink, the 6950 unlocked shaders +1.225v seems to be a step too far, you're talking about pushing probably 260-280W, judging by numbers from reviews in Furmark, I NEVER run furmark, evil program and entirely pointless so realistically I'm probably pushing 30-50W less on each card, so the Prolimatech is probably capable at 180-200W but just overloaded at 230-240W.
My main gripe with the sink is as I said, due to the mounting method, its incredibly ackward to get the screws connected without making contact between gpu + thermal paste and the cooler, then once they are attached you can push them together and tighten the screws. To be honest I'm sure contact is relatively good as the sink gets fairly hot, I probably use too much paste to overcompensate for the potential problems.
THe arctic cooler is certainly a much bigger sink, but its generally thicker fins IIRC so isn't top notch in terms of quality.
One of the other issues with the Mk13 is fans, I was using 2x80mm fans , Antec's on the low mode so I couldn't hear them for the 5850, to get decent vrm/gpu temps I was using the medium mode which was louder than anything else in the computer. Moved to 2x120mm's and they just aren't that good, but quieter. I've seen reviews showing 2x80mm work better due to the airflow being forced over the sink and much smaller deadspots. Basically the sink could be significantly bigger to really gain the advantage of bigger fans. 2x120mm fans with much more airflow at the same noise, but most of that air isn't going through the sinks, temps haven't improved in the slightest, just noise.