vrm heatsinks are a bit of complex balancing.
the older type cpus didnt draw that much power, so the vrm didnt need to be that many phases(i think i saw a s775 conroe board with 2 phases back in the day). now with intel and amd pushing 8+ cores the vrms are 3-4 phases for budget to midrange, 4-8 phases for midrange to low premium, 10-16 for upper premium. the 28 core 5ghz intel monstrosity needed a 20 phase board.
that said, vrm design is like the commutative principle in that there are any number of configurations to arrive at a desired result. a true 8 phase controller vs a 4 phase with doublers will still divide the load and heat among more components. smart power stages instead of basic mosfets can improve your waste heat. it is all a matter of cost. there are mb vrm that dont need any heatsinks because they have a ton of phases and the mosfets are only dealing with a tiny amount of load. there are 3 and 4 phase vrm that need massive sinks because they only have one high side and one low side mosfet. as long as the heatsink is matched to the vrm components it is fine.
the northbridge/vrm heatpipes from those old motherboards are there to route the heat from the nb chipset to the fins/sinks on the vrm which were assumed to be getting downdraft from the cpu cooler fan. the vrm parts didnt need copper fin sinks but the nb did. once the nb was integrated into the cpu, vrm sinks could be simplified.
the reason for the shift away from copper is cost and lack of necessity. aluminum is a way cheaper and lighter material and can be extruded, while copper can not. milling the fins into copper is time consuming, the blades/bits are expensive, the cnc mill is even more expensive. aluminum extrusions just need a chop saw.
there are plenty of extruded sinks with more fins and surface area than the op's example images. covering them with plastic shrouds for branding esthetic doesnt help much, but if the sink is appropriately sized it is fine.
the fans on the x570 boards are likely there because an extruded sink large enough for the heat output of the chipset would likely be too tall and interfere with mounting a long gpu with a large 2-3 slot cooler.
im no fan of the cosmetic plastic shrouds and cover up plates, but the real problem is the atx form factor. at some point mb/ram/gpu/cooler/psu/case makers need to bite the bullet and come up with something new that doesnt compromise airflow and component layout "just because" everyone else is still using a 24 year old standard.