The AMD MI300X is a hardware monster that punches above its weight class in terms of raw memory, 192 GB HBM3 with 5.2 TB/s bandwidth absolutely demolishes the H100's 80 GB ceiling. For local AI builders who want to run the largest open-source models (e.g., 405B) on a single GPU without sharding, this is the only realistic choice. However, the software support is still actively maturing: ROCm 6.0 has improved dramatically, but you'll run into compatibility issues with newer FlashAttention variants, and FP8 inference/training is nowhere near H100 parity. If your workflow is pure inference and you can stomach occasional driver headaches, the MI300X delivers unarguably more raw VRAM per dollar. But if you value 'it just works' out of the box, have tight deadlines, or need peak performance for fine-tuning (especially FP8), the H100 remains the gold standard despite its smaller memory pool. The H100's NVLink and integration with Triton/TensorRT-LLM also make multi-GPU setups more smooth, while AMD's Infinity Fabric is competitive but less battle-tested. Ultimately, this is a battle between future-proofing via hardware (MI300X) versus current-day reliability (H100), choose based on your risk tolerance and model size targets.