As far as heat is concerned, most people running three or more tend to go with water anyway. If not, they sort out their airflow and use blowers, which obviously can be a bit a bit noisy.
Yes, it uses more leccy and requires a bigger psu etc, but hey, it's an enthusiast thing and most people know what they're getting into. At least I hope they do
I'd say that things have changed a bit more than you might think tbh. The difference between 79xx dual/tri/quad is quite apparent compared to the equivalent 290/x experience for example. That's just a single generation apart and isn't just down to raw performance figures and more vram.
I'm not advocating that everyone should go out and grab three of whichever card btw, but whatever the method used to get multi card scaling on the go in the above list of games is, it works. That's all I'm saying.
Yes, it would be nice to see it in more titles though.