I think I did pester Linus on his forum about bringing up this topic in video and based on his response I believe he gave up on talking to nvidia about this because it's how they want it to be, or he's not going to waste time on things that he sees will not have any effect.
About the fins being oriented for racks - while 3-fan solutions often have fins vertically, for smaller cards some vendors still do make horizontal fins like zotac did here for 3060 TI:
But you're right - I think both of these features matter, the fin orientation and the power connector placement.
Getting back to the issue of nvidia not wanting this - this small cutout in my concept to pass the cable out here would probably invalidate the design for them:
Because this essentially works as if the card was a blower with connector placed at the end. So allowing this to exit anywhere may not be a good strategy beside optimising this for us, case designers.
It's not an awkward size when talking about ITX + TFX in front or ITX + FlexATX in front. 240-250 I think may be too short unless you're considering that additional space at the end required for the cable and its bend. I would stick to the 267mm requirement here because it shows it can fit 3-fan solutions neatly.
I agree that for ITX + SFX it's great to just have it as 12"/305mm limit. It's just that triple fan cards with 200-250W TDP can fit in this size. RTX 5070 FE is within this size and Arc B580 is almost within this size.
I'm for picking one size because splitting hairs into multiple brackets makes things complicated less likely for anyone to follow. Also it may not make sense for more power hungry cards to try and fit in such reference-sized SFF requirements - we may wish for that, but for anything above 300W even 12"/305mm at reference height of the card may not be reasonable.
Overall I don't know whether we should focus on 305mm or 267mm, I have a preference for smaller one, but I just believe we should pick one.
I think it's not publicly official, but I think its exactly so if you buy pre-builts from Lenovo/HP/Dell, replacing the gpu with something retail gets tricky and you need to go for upgrade/replacement from them, or go for a quadro card. This would make sense to fight those recycling scenarios of buying used 1 or 2 generations old office PCs and putting in an retail GPU easily. That's why they have stupidly placed x16 slots and custom cables on their power supplies and motherboards etc.
I believe in previous generation there was this situation that few partners said early on they would release blower cards with RTX 4000 series early on, probably because nvidia missed this requirement somewhere assuming it's clear how they roll with this topic, and nvidia was like "oh no you won't" and for some of the partners we got these really late or scarce quantities, and some did something like gigabyte and remade them into things like this card:
https://www.gigabyte.com/Graphics-Card/GV-N4090WF3V2-24GD-rev-10-11#kf
In all this you need to consider the big crypto miners situation as well - if they can get hands on some standardised racks/used servers made for quadros and teslas or whatever its called right now that don't have room for that connector on top, they're forced to either use professional cards OR mod the retail consumer cards to fit there. If nvidia allowed that to happen, we could have floods of used cards from last generation more often than currently when new generation launches and crypto miners switch onto next generation. Yes - there are janky open-bench solutions, but when it comes to optimising space, rack gives you best optimisation, and if someone goes for this, just having taller/thicker rack case just because you need to fit in connectors doesn't make sense. So now you have to solder cables to each card to use it, and when selling those cards back, you have to resolder the connector back so you can lie that it wasn't running 24/7 for it's whole lifetime so far.
It's all about making multiple attempts at preventing using consumer cards where nvidia would want to make more money on the chips with professional cards, so while they cannot prevent you from hacking together a custom solution for yourself, the clients that buy things in volume and want warranty will be forced to use what they are allowing to use for each segment.