Yep - marine terminals.
If you have an Optima (or other "combination terminal" battery, with top & side posts,) you can use the side posts for auxiliary distribution up to 80A constant-duty or so. That should clean up the top of your battery. You should not run your winch to the side posts - this is per winch manufacturers (Warn & Ramsey) and battery manufacturers (Exide, Interstate, & Optima.) However, I've been told by battery manufacturers (same three) that using the side posts for accessory feeds is fine. N.B. They also advise against running starting leads to the side posts as well...
Some cast lead terminals have binding posts (hex headed screws) that can be removed and replaced - you can just get longer bolts to install (they're usually 5/16"-18 threads.) The cast brass clamps I use are threaded (5/16"-18) to accept bolts - while the bolts are normally run in from the bottom, it is possible to reverse the bolts and screw them in from the top - which gives some flexibility to you as well.
You can also try using "military-style" clamps (I've been looking for a source for those in brass as well...) which have the binding posts exiting the side of the clamp vice the top. I've also found cast brass "universal" (where the cable attaches under a strap) replacement clamps - I'm thinking about adding them to my line. Not to use as "replacement ends" for corroded cables, but because that will allow two screw attachments points for eye lugs without having to use the clamp bolt/nut, as some people have been known to do (only in extremis dire will I do so - I just don't like the idea.) I'll have to check, but pricing will probably be comparable to my cast brass battery clamps.
Another option is to use a remote distribution post - you'll still have to run a "feeder lead" from the battery to the post, but you can then run a number of smaller leads off of that to feed accessories. You'll still have to fuse them inline (you mentioned using a fuse block?) so I don't know if that will save you any work. I've been looking for an acceptable fuse block to add to my offerings, just haven't had much time to work on it of late. However, that can still allow you some flexibility.
Want more ideas? I'm sure I can come up with a few...