Compared to the standard NVIDIA reference design, EVGA uses a cooler that looks a bit different. It is black, it is heavy, it is powerful - but not loud.
EVGA has given a lot of attention to small details that make the card look a lot better. For example the "EVGA" text on the side or the text around the fan.
On the back of the card you have a big heatsink plate that helps cooling the GPU from the other side.
Like you would expect from a high-end video card, two Dual-Link DVI outputs are on the card. So you can attach displays running higher than 1600x1200, that's what NVIDIA is marketing with their "HD Gaming". If you have an older analog display, you can of course use the included DVI adapters on both ports.