They are referring to the thickness of the metal baseplate of the heat sink, not the thickness of the thermal paste.So where are the real life units on the axis?
As to thickness guess there is some importance.
Optimizing Heat Sink Base Spreading Resistance to Enhance Thermal Performance | Advanced Thermal Solutions
See lower limit in link.
Thermal paste has a lower thermal conductivity than metal to metal contact. The ideal thickness depends on the surface finish of the 2 surfaces being joined. Generally a 50 micron RMS roughness on each results in an ideal thickness of ~100 microns. The thermal paste is only there to fill the air voids due to micro scratches. it is not intended as a gap filler. In this case the surfaces should be mechanically lapped. In no circumstance should it be so thick that it prevents metal on metal contact.


