Phono amps or stages for high-output cartridges?

It's understandable that the best phono-amps (and phono stages in full pre-amps) these days are very high gain, as what are generally considered the best cartridges are very low-output designs. But for those of us whose preferred cartridge produces very high output (5mV!), what are some very good phono-amps or pre-amps with great low-gain (40dB, tops) phono stages? I ask because a lot of even very good high-gain phono-amps run into trouble (overload margins) with a high-output cartridge. Phono-amps are being designed and optimized for low-output models right now. Are there any currently, or in the recent past, being produced which are specifically for high-output models? Sure, one can get an old pre-amp from the pre-low-output moving-coil era, but they come with their own problems, usually worse than overload characteristics.