As always you're on your own on anything like Hackintoshes, but kexts aren't going to damage your hardware.
VegaGraphicsFixup.kext enables your secondary ports on the Vega, that's all it does. If you have one monitor you do not need VegaGraphicsFixup.kext. You don't even need Lilu (unless you use it to pair with other kexts).
I would say, get a nice case and make sure it has good noise dampening. I have a Meshify C and it dampens the noise well even if there's a big grille in the front.
There's a few threads on this forum that talk about this issue.
Here's one of them.
This is just a guess, as I do not have a Vega 64/56 GPU, but it SEEMS to me that from all the reading, Vega Frontier Edition has the fan issue as well but it's not as bad as Vega 64/56. I can't be for certain why, because Vega FE is basically a Vega 64 with more HBM2 RAM and in a "Professional" category (as it has pro drivers under Windows).