SSUPD Meshlicious should fit your needs.
The riser they use, by LINKUP, is also available alone so you can order one of those. But you need to check case compatibility.
A comment on H1: it's been recalled for being a fire hazard (GamersNexus covered it on YouTube).
The Gigabyte GV-N105TOC-4GL is only 37mm tall, it is specified as Low Profile, and includes
Two 2 HDMI 2.0 ports
You could add an HDMI-VGA adapter for the VGA when needed, or perhaps you could use the motherboard video port of that Dell Optiplex 780 for VGA monitors in parallel with the add-in card; Gigabyte could ...
The picture shown is adapter card nvme SSD to PCIE x1 and not x4 though. Theoretically that the SSD will function with 1 lane from the x1 slot but nvme SSD need to fully function from an x4 pcie slot.
But I found a much appropriate adapter card not from a x1 pcie slot but from a x4 slot and supports 1 nvme SSD and 1 m.2 data ssd. But my question is, was the ...