Here's my 16" on LG 43UD79 in clamshell mode. Straight USB-C connection that also seems to charge the MacBook (amazing...)
Lid open, it still does 18W. But clamshell is perfectly quiet and cool. This is pretty much the same case for my LG 34WK95U
So I'm starting to think the problem some may be seeing are just related to the dock/adapter that they are using.
And word of advice to those thinking about an eGPU: I have a 13" + eGPU setup that I was using prior to getting the 16" and the 16" by itself runs a lot quieter. The 13" MacBook wasn't noisy but the eGPU was quite noisy, even at idle. Under full load for gaming or 3D rendering, the 16" is significantly quieter and cooler than the eGPU by itself.
this has nothing to do with dock/adapter... if you switch your resolution to 2560*1440, you will probably see 18W in clamshell as well