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Unsubscribing from promotional emails should never depend on access to an account, since one can forget the Apple ID password and lose access to 2FA for resetting it. In the US, such an account access requirement is illegal, so although OP is in Europe I suspect Apple does provide an unsubscription method that doesn’t depend on the account.

In theory, the Apple ID is usually an email, iCloud or otherwise, isn’t this something that can be reset from that end should you forget the account password? Not 100% sure but just guessing based on how I understand apple accounts are set up.

Not when 2FA is enabled for the Apple ID, no.

I have all of these off, and I still occasionally receive promotional emails from Apple with no "unsubscribe" link anywhere. I've had the same concern as the OP, but I've come to the conclusion that I probably can't do anything about it without risking my Apple account.

The settings are all unchecked, but I receive promotional emails anyway. :(