Awesome card, I bought this on launch day without watching overclock3d review.
It was f***ing loud and VERY HOT!
I have nice cooling solution with a Coolermaster Haf-X (huge fan blowing directly at the graphics card) and this card hit 105c with 10-15mins of Crysis 2, oh and not to mention 2 thermal shutdown by the graphics card.
I absolutely agree with EVERYTHING Tom has mentioned in this review, I was EXTREMELY disapointed by the fan & heat from this card.
Awesome performance but seriously let down badly by the heat/noise imho.
I sent the card back and this time will wait for an after market version of the 6990 or see how well the GTX 590 does (hope its quieter and not insanely hot as the 6990).
Most of the reviewers didnt really go into much detail about the heat/noise but Tom really hit it spot on and from now on Im gonner just wait his reviews on products.
TOM FTW!
/Mas