I bought one of these, here in the UK with the reseller scan. The laptop arrived fine.
Here is where the problems begin, scan or any other reseller is not importing the water cooler kit, so you need to source this with other methods, at this point, I'm waiting for an order with a package forwarder from Germany. I contacted Medion about the issue on their forum, and the admin told me the water cooler is only sold in Germany, not bringing Medion forward to put an option for UK owners to buy.
Another issue is about the firmware update, there is ZERO information on Medion about the 4090 freezes, XMG is taking it very seriously, with information about the firmware development status on their website.
This is a very expensive laptop and the company Medion (Lenovo Subsidiary) as they state on their website, don't seem to care about their customers.