Replaced the aluminum heatsink with a copper version. Heat savings were not what I had hoped - overall it looks like 1°C, but it is much more quiet. I think the less-powerful-more-quiet case fan I put in a while ago is more able to cool the Cu heatsink - plus there seems to be better airflow through it.
My old temp ranges were from about 59 - 61. New range is 58.5 - 59.6 (59.6 is as high as it goes at about 20-21°C in the house running F@H, so basically full load). With the new heatsink I have not yet seen 60 which is a good thing, but I was hoping for a 55 average, especially after what I spent for that contraption. Oh well.
Here is an image of the two side by side:
