I got this card in October 2009 to replace an ATI 3870 card that was in the system i was upgrading. To date it has run flawlessly. I Live in a hot and dusty location in the Middle East and it never gets too hot and i frequently check the fan/heat sink for dust buildup and find it minimal.
I run this card to a 32" HD LCD TV via a HDMI converter and comes out crystal clear, the card/drivers automatically detected my TV type and resolution and adapted to it. I put a lot of hours on this card as i am a heavy gamer and play a wide variety of games, non of which had a problem on high details. Keep in mind i keep all drivers, including the GPU updated all the time.
I run this card on a motherboard & CPU i ordered with it also from Amazon.com, an AMD Phenom II X4 940 CPU and Asus M4A78 Plus motherboard. They all work well and i highly recommend them!





