Yes, simply replacing the crystal is enough. Even without a heatsink or fan, it should work fine. Is your crystal working properly? I got mine from Aliexpress.
My IIfx is running at 50 MHz without any problems — I use it almost every day. I added heatsinks all over the board and a tiny laptop fan on the CPU, but it doesn’t get very hot compared to stock.
If the RAM is bad or missing, the machine will produce the death chime. If there's no chime at all, the issue is more serious — possibly a broken trace or a faulty IC.
This part of the board drives the soft power circuit. Any broken trace is a problem. To test a trace you suspect is cut without following it to the end, you can simply scrape it slightly to expose the copper.