Not necessarily aim, but the beam pattern - the reflector is shaped precisely to aim the light exactly the way it should:
The shape is designed around the exact locations of the halogen filaments - if the diodes on the LEDs do not match up the beam pattern will be thrown completely off. Notice in the below pics how the diodes (the little squares) are placed in such a way to replicate the position of a typical halogen bulb's filaments, it even has the glare shield as well in this example:
People will often buy the cheapest aliexpress special (even though aliexpress also has actually decent LED bulbs out there) which just has diodes covering the entire bulb and then wonder why everyone is constantly flashing their high beams at them.
Octane Lighting make one, but you can also make your own which may be better to do if you already have the tools to do so; I got their
4-light harness and while it works, the terminal crimping left something to be desired - there were individual strands of copper filament here and there that weren't crimped down, which would increase resistance and while it still works, maybe I got one made on Friday at 4 PM or something...
And since it was also a universal kit, the wiring may be too short depending on your application. For my 67 Fury, some of the wires were cutting it close with how comfortable I was letting them stretch. There are lots of guides and diagrams online on how to do it yourself, it's pretty straightforward, but can be time-consuming if you're trying to do a proper job.
Funny that all new cars have headlight relays
Relays make perfect sense - they are simply electrically operated switches. Use a small amount of signal current, to control a circuit that carries much larger current. Perfect for easing the strain on our old wiring harnesses. I think the 70s-80s was when manufacturers realised that it wasn't a good idea to run 55-60 watts of power up into the dash and back out so they really started doing headlights properly. It'd be cheaper to just do it once, do it right, than to pay for class action lawsuits around cars burning down.