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Pros: Great deal for the amount of power; got mine at $130.
No major issues with cooling. Usually peaked around 165F full load (BTC mining) when OC'd. ~150F peak when stock.
Can't really comment on fan noise as my case fans were already fairly loud.
Cons: [*] Became highly unstable whenever antialiasing was enabled and the memory wasn't underclocked. It would consistently lock up the whole system and require a hard restart. Different driver versions had no effect on this.
[*] Burnt out only a few months in. Like Daniel D., what I assume was a memory module started arching.
Other Thoughts: If all goes well with XFX support and the replacement card doesn't have the AA issue, I will give this a 4/5. 3/5 till then.