In a semi-crosspost from altano's Grado availability thread
here, I've apparently been able to source a Supermicro SNK-P0093AP4 HSF to go with mine. It was decidedly not cheap though at north of a ton.
Details on the SNK-P0093AP4 HSF are thin on the ground, SM themselves don't have much info about it. The few resellers I did find pointed out it's got a maximum height of 149mm which I think makes it 4U or desktop case only.
As noted in the other thread, the Noctua NH-D12L
looks like it's rotatable for front -> back airflow as per the compatibility page for the
H13SAE-MF... but from what I've been reading about the H13 boards, it's no longer possible to tweak the fan thresholds in Supermicro's IPMI below 700rpm, so in order to stop the fan asserts I probably would have needed to retrofit a different fan to the Noctua anyway.
I'll see what the noise on the SNK-P0093AP4 and see if it warrants a more modest fan or LNA fitted to keep the noise down. It's rated for the 170W 4585PX so hopefully it should be able to run pretty quietly with the 4545P at half the TDP.