Actually not that crazy of a spread. E.g. I have 48 GB + 32 GB in my gaming PC because if you go beyond 48 GB you start having to trade off more and more performance to keep the memory controller from falling over, so you really have to have a good reason to want to load more. Server platforms, like Epyc, it tends not to matter as much because you have so many channels for bandwidth and a beefier memory controller to handle them. Then on the VRAM side it's more about what makes sense for the GPU and how you plan on using it there (games or AI or modeling or whatever), and for a lot of cases the 5090 is just a good card to get for one reason or another (it just has a ton of compute + bandwidth for a consumer part).