I figure if they use Americium-241 pellets to make commercial smoke detectors, there's no reason they cannot use such pellets for hardware random number generators. I read an unconfirmed anecdote that casinos often use them in their digital gaming machines. Even though they don't have nearly as high of a bitrate as the optical HRNGs, radioactivity is quite reliably random.
There have been a few hobbyists who built their own but that's a bit too risky for me right now.