@Hewligan There was signs of pump out when I just took the GPU apart. The mounting screws were done up as tight as they could be (I checked if they could be done up more before undoing them, and I could feel the 'end' of the threads). There was a good amount of 'adhesive' tension to get the PCB off the heatsink too.
I repasted it and put everything back so unless I'm totally messing up the remounting screws (which is very possible) then I'm not sure if mounting pressure is/was the issue. I'm tightening them crosswise little at a time.
Right now there doesn't appear to be any improvements but I'll see what it is like for a day or two. By then ptm7950 would be here too so I have one last thing to try.
@Skilid I thought maybe thermal images of his system would help highlight any cooler issues but I couldn't get an angle on the cooling fins. I did ask him if he'd be comfortable with me swapping out the cooler but right now he's doing a lot of modelling work for our company (we're both engineers) he just couldn't afford to be GPU less for a bit or even risk me or him taking his working one apart