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Pros: After going crazy from listening to the fan on my old 6800, I spent a while searching for the quietest and powerful card I could find and came across this gem. It hovers at a nice 47 degrees C without the optional fan attached.
Cons: The card is big, but it fits in my Antec P182 just fine.
Other Thoughts: Even if the 8800gt isn't the fastest card on the block anymore, this card is still definitely worth the price if you're in the marked for something 100% silent.