If you have watched various YouTube channels of repair technicians repairing video cards, you would have seen problems other than power delivery itself that cause fuses to blow like DrMOS stages or VRAM chips that were once good but developed a short circuit, causing a fuse to blow. Had the fuse not blown, the short circuit could have fried more components of the video card or have damaged PC components outside of the video card like the motherboard or power supply unit by overdrawing power from the motherboard PCI Express connector or one of the power input sockets. Buildzoid shows in
how the fuses in an MSI RTX 4090 Suprim X or Suprim Liquid X can protect the video card when something fails. For example, a memory VRM short circuit can fry the GPU chip itself if a fuse does not blow.
Take a look at
to see a video card with a blown fuse get repaired to see that the card developed a short circuit behind the fuse, so the technician replaced the shorted out part and then the fuse.
See
and
to see what repair technicians had to do with video cards that developed short circuits which did much more damage that blown fuses could have stopped.