Two other problems with Garratts in the UK were interference from the companies ordering them.
LNER's U1 had six cylinders at Gresley's insistence. Compounded, too. Offhand, I'm not aware of any locomotive that was able to reliably feed six cylinders to any great effect, the U1 included. Basically restricted to banking, as it was built for.
The LMS Garratts were infamously fitted with then-standard LMS axleboxes, with woefully insufficient bearing surfaces. Worse, this was never corrected, even when the issue was identified. Trains being tendered to the Garratts were also normally unfitted, leading to issues with controlling trains of such length on some of the hills on the LMS mainlines.