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You can buy it from the Point Shop.
Look here:
https://store.steampowered.com/points/shop/app/382560
As for themes, I remember one for sale in the shop, or someone had their profile customized to look like it.
Yes. It can only be obtained by purchasing a Steam Deck and only when you log into the Deck can you redeem the profile.
https://gtm.steamproxy.vip/my/?previewprofile=1&appid=1675200&itemtype=29