They could score a quick win for power efficiency by making the Ryzen 9 5900 and Ryzen 9 3900 12-core 65W CPUs generally available instead of only selling them to OEMs.
If your production process and binning doesn't create enough supply for these parts, you only sell them to OEMs, because they can silently discontinue, or limit availability of these models when parts can not be found. However it'll be a PR disaster if the parts have spotty availability in retailers, and will cause wild rumors to spread, from "AMD doesn't want you to have this CPU" to "AMD is going bankrupt".
Anyway, I hear some people saying you can just buy the 105W "X" variant and limit the power usage to 65W in the BIOS. Does it really give the same result, also in idle power consumption?