generally they are heavy duty, but to be specific it takes only a single electronic component (like an IC or a capacitor to fuck up) to get in an uncomfortable position to accumulate heat and it can cause some weird behavior if it did not die a clean death.
i always prefer a clean death because it is very easy to identify the cause of the problem (stability issue), rather than finding the cause of the problem by the process of elimination..while weird problems takes time and effort to identify..like my 1000w seasonic PSU (I mentioned up thread) which causes restarts if it powers the system and gpus but as a secondary psu, powering only 2 gpus it was very stable.
there is a side of seasonic 1250xm that gets hot like when you touch it you would remove your hand immediately, that side I would not dare lay it flat on a surface...other PSU are of different make and build but still..you get the idea.
it is still best to do a "good practice", as a crypto miner sometimes we switch algos often/seldom/always and consume higher power..by doing so it may not come to our minds that we should give more air circulation to the psu, and by doing a "good practice" we can prevent them from happening.
yeah more air is better for psu's not worse.
I some times use these under gear for air as they do that and prevent shorting if you take your time they can be purchased at 5 dollars for 1. you need 1 per psu
they also work for other gear when I do the 6 card riser less I will use 2 or 3 of them under the mobo
https://www.boscovs.com/wcsstore/boscovs/images/store/product/images/643777143ts01066.jpg