There is a difference between hot to the touch and warm people. There was literally 45C+ temps coming through the tiny radiator. The problem with "HOT" comes when some pumps (not many) have limits of 45C water temperatures. Most are 60C though. Again, warm OK, hot to the touch, not really a great idea and is a clear sign of not having enough cooling area. A couple of reviews say that, in fact.
Reiterating the 'basics' really isn't going to change my thought process. I owned one with both the sub-par 120mm rad, and then I put it in a custom loop... BIG difference when there is actually enough radiator to keep it cool..........where water cooling "should" be. General rule of thumb ALL OVER THE WEB is ~100W for ever 1x120mm worth of radiator. Even if you double that, the 295x2 was a 500W card... Its VRMs were not cooled by the thing even. Does it work.. yes it does...but it could have been A LOT better with a 2x120mm rad. Problem is not all cases have room for it, hence their choice for 120mm.