I have a great respect for this preamplifier. It introduced me to a new level of sonic pleasure.
I am combining the Ref 3 with a Pass Aleph 5 and am satisfied with the combo.
The Aleph 5 is a 60W solid-state, class A, single-ended amp. I prefer the sound of the Aleph 5 (or Aleph 3) over all the solid-state class AB and/or push-pull amplifiers I've heard. Midband purity is exceptional for a non-tube amplifier. I also own an Aleph 3 but it does not combine well with the Ref 3, maybe because I am using the Aleph 5's XLR connection which provides an higher gain (26dB over 20dB on the Aleph 3 that only has RCA inputs).
In the combo Ref 3/Aleph 5 there is some loss of bass control and definition, but just a little more than when pairing the Aleph 5 with solid-state pre-amplifiers (it's more an Aleph 5 limitation). On the other hand the Ref 3 provides much better soundstage, truly natural midband and correctness and realism of all instruments and voices. For instance, replacing the Ref 3 with an Aleph P, the sound loses all this magic and seems artificial.
Note that the Aleph 5 works particularly well with easy loads. This amp requires very carefully speaker matching. I would forget any hard loads. The speakers I am using in this setup have a sensitivity of 94dB and 6ohm nominal impedance. Source is Mark Levinson.
As commented here, probably there is no better match than the ARC VT100 mkIII or the Ref 110 (which I would like to try one day), especially on the low-end. However, these come along at a 5K price against 1.5K for the Aleph 5.
So, the Aleph 5 can be an interesting option if money is an object and speakers are easy to drive. An easy ticket for a magic midband.