The heatsinks on some of these devices are absolutely massive and they very much surprised me when I was first looking them up! One of them even ships with a lil' fan attached.
https://arstechnica.com/gadgets/2023/03/first-wave-of-pcie-5...
It's going to take a minute before we get these in laptops (or device manufacturers will have to run an extra heat pipe over to them). Retrofits will be tricky!