You could make this from reasonably sized stock with 2 setups. First you rough the shape and cut the mold cavity, then you remove the stock and face the backside. I'm used to an automatic tool changer, which would be needed if you want to go fast
https://www.pressebox.com/pressrelease/apium-additive-techno...
There are already 3D printed steel core and cavity inserts for injection molds. They laser sinter powdered metal and then run a very tiny ball end mill around each layer to clean up the surface finish. Traditional CNC and EDM is still how most molds are made, but occasionally it makes sense to 3D print. You can get cooling lines in patterns that are impossible to machine and you can make tools faster sometimes. The costs for the machines are very high, and the size of the parts are limited.
You use the metal sintering printer to deposit the metal. Then you use an in-envelope milling head to polish it.
The cooling can be conformal since the shape isn't limited by milling technology. And, since molds have a lead time of at least 6 weeks (and generally worse because something always goes wrong), speed isn't the issue.
There was a good talk at Molding 2018 by the CEO of a Silicon Valley medical prototyping company about how his folks simply won't deal with conventional molds anymore and he has bought 3 of the 3D metal printers with in-envelope milling heads.
Unfortunately, the Molding conference website is a dumpster fire for useful technical information. If I can remember the name of the company, I'll reply.