Do cooling pads help?
Yes, but need a
good cooling pad & a laptop with good ventilation. 2020 Asus TUF A15 was infamous for closed-off bottom vents for which the cooling pad didn't help. Check Jarrod Tech review for the same & other laptops where he tests thermals with a cooling pad. Temp reduction also matters on the laptop feet's height, which might block airflow a bit when kept on table.
I have Alienware m15 R1, shit default thermals, hits 100C easily. So I have put a CPU UV, CPU freq limit, CPU power limit & GPU UV. Even with these, I can see average temps of above 90C (92-93C) in certain games when laptop is on a table. But if I use a cooling pad or stand, avg temps drops to 85C or lower in the same game. I used Division 2 for extensive testing in 2019. These are avg. temps in a 30min+ session, max temps can still be 95C or 100C in the former case.
But I observed that a good stand at high enough angles is enough to get the same performance for cheap. Stand is also easier to carry, but using KB becomes uncomfortable.
Cooling pad I have - Deepcool Multicore X6
Stand - Basic foldable stand like this (not this model, some Portronic model)
Most gaming laptops have a good set of fans. So just get a stand for it, that has been my recommendation. Cooling pad reduces the idle temps a bit vs stand because of forced cooling, but gaming temps are similar or a bit worse on cooling pad in my testing (but 1-2C difference is within the margin of error).