Installed a Thermal Grizzly contact frame on my 13900k yesterday. Took me 3 tries to get the correct mounting pressure:
1st Try - slightly worse temps than before, not enough contact pressure
2nd Try - tightened further - no POST.
3rd Try - Ever so slightly loosened screws - POST and much improved temps!
Seeing around 5-9C difference in core temps, this is on a Maximus Hero Z690 board. This is also enough to stop thermal throttling when at 5.7 for all Pcore, 4.6Ghz for all E core, while at inaudible pump RPM on a 280mm AIO. In a different ST focused profile I have, this also lets me have no thermal throttling while at 6.1Ghz for 1 P core.
Definitely worth doing - just wish Intel would allow motherboard manufactures to discard the stock ILM and install something similar out of the box, as it's clearly a far superior method.