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simple answer yes it's worth it
you could get near double the FPS depending on game
Power Limits up to +50% too
1st, when going for max clocks, always run the fan@100%, yes it's noisy, but better safe than sorry.
Each card is different, if you are comfortable with the temps, it's fine running up to 90c, so it's up to you if you want to take it further with the volts or not, take it in small steps, it can take a while, but it's the only way to find out what's stable or not.
Once you find the limit on the core, reset the core, then start on the vram, when finished, knock off a few Hz from your max stable core/vram clocks and put them both together and see if it's fine.