What makes it worse is the rtx 4090 had a high tdp too but apparently in games it ran with way less wattage and didn't use anywhere close to it's max tdp. Could also undervolt to reduce power even further.
By contrast, the 5090 runs 24/7 at that close to max wattage under load apparently. At least accord to Tom @ MLID.
Quote from: 5090 using TSMC 2N on Today at 11:29:34offer a 48 GB VRAM version
I believe they do. It's called the RTX PRO 5000.