Pulse has a good cooler and presume paste and pads etc, doubt you will need to repaste etc until a fair few years after you buy one. Imo.
Made a reasonable difference on my old Sapphire 270X's, and on my old Asus 390X Strix the difference was substantial.
Its not a difficult job to do so worst case is I've spent an hour or two doing it and the difference is minimal.