Timel, I actually have a Grado TLZ that I used as my one and only cartridge for several years back in the 80s. I still have its factory packaging which includes that triangular, dimpled piece of plastic for separating cartridge from headshell. I remember trying to install it was more trouble than the value of it, if any. With the Acutex cartridges, if you use the Saturn V, which I am using now out of necessity because I damaged the conventional headshell adapter, you of course have no use for a spacer, or the spacer is irrelevant. I can’t tell yet whether I like the LPM320 best in a headshell or in the Saturn V. The disaster with my MMC1 prompted me to dig out an MMC20CL that I bought "used" several years ago during the MM craze. Microscopic exam of the stylus the other day shows it to be in excellent condition, so I am going to give it a go. It either came with the B&O adapter that resembles the Saturn V, or I bought that adapter separately. So, once assembled, the MM20CL in its slender adapter that fastens right up to the arm wand, resembles an Acutex cartridge in the Saturn V. Haven’t heard the MM20CL yet. Maybe by tomorrow I will have an opinion.
There has been some contretemps on this website regarding the "Cartridge Enhancer" which is a spongy spacer meant to go between cartridge and headshell. Some loved it; some hated it; some heard no difference.