I picked up this card yesterday and I must say I am rather pleased. Even tho there is no exhaust on the card, the twin fan and heatpipe setup does the job well and is quieter than a stock blower on most models. With a well ventilated case this is no problem. As with the Normal and Turbo switch, I find no big deal to having to shut down before ficking the switch. Included are screens in Turbo and Normal mode. Setup is a Q6600 run at stock settings. X48 chipset, 4 gig DDR2, Palit HD4870, Seasonic 700w modular, Cats 8.8 , 250gb sata2, Vista 64 SP1.