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Pros: I tried the stock 5870, the Sapphire Mac 7950, and this card. This card wins hands down. Faster desktop, apps are snappier, faster Mac native games, faster in boot camp, faster in Parallels. Everything I do is faster and more enjoyable. I do not use any rendering programs I cannot comment on those. Works great on multiple monitors, including a 42" 1080p TV.
Cons: Out of the box, it did not support audio over HDMI. The EVGA techs turned me onto a 3rd party app that installed in about 30 seconds and so now I have audio over HDMI. I wanted this because sometimes I stream things into my stereo receiver and TV.
Other Thoughts: As awesome as this card was, the Sapphire 7950 was disappointing in nearly every way. If you cannot afford this card, stick with the Apple 5870.