I used a heatsink but it never gets really hot. I'm sure the module can be mounted directly on the stock ecu frame, this would offer enough surface to dissipate heat. after all, i had the same module inside a GM HEI distributor (on a 327 Chevy) and there is no heatsink, just the distributor itself..
I got rid of the ugly mounting plate too, with this setup the coil receives full voltage anytime so you don't need the ballast nor the hot start relay. it really cleans the firewall. engine compartment light got a manual switch.