I found it difficult to install ROCm on Fedora 42 but after upgrading to Rawhide it was easy, so I re-tested everything with ROCm vs Vulkan.
Ollama, for some silly reason, doesn't support Vulkan even though I've used a fork many times to get full GPU acceleration with it on Pi, Ampere, and even this AMD system... (moral of the story just stick with llama.cpp).