Summary: I RMA'd my card because of the noisy fan only to get another one with an equally noisy fan. The fan is NOT acceptable for a media center PC, and it appears the fan noise issue is fairly commmon. Too late to return the card so instead of wasting my time RMA'ing again, I removed the fan and beefed up the heatsink. I don't game on the PC in question, just watch movies. While playing movies including high def stuff my card never goes any higher than 55C and my PC is quiet.
Summary: This item is a good value for its price range. I dont play video games anymore on my machine but when I do this little guy is more than capable of playing mid to high graphic games. Good for basic computer user that enjoys streaming movies online or blu rays locally.