I haven’t used any, but a local engine builder used them on various engines. I remember him being hand a set at his shop by parts driver and asking about it thinking it was a weird head gasket. When he said “head shim” I had to ask. He said he hadn’t had any failures out of a dozen or so he had installed in various engines, gas and diesel.
If you were to do it to drop compression you would have to make up for pushrod length in theory. I would think intake and exhaust plumbing has enough room for adjustment to not matter.
Have a damaged head or just something thinking of dropping compression?
Sure is a lot more affordable means of lowering compression than a set of pistons if they make them thick enough to hit the 18/18.5:1
I imagine there is a table that could say “x” thickness equals “Y” compression drop.