Summary: I bought this card for my Dell Optiplex 760 HTPC. I had issues with trying to install the latest driver's/catalyst control center, the system would BSOD every time during install at "detecting hardware." This is with a fresh install of 64-bit Windows 7 Home Premium. I eventually gave up and just let Windows install it's own drivers without the CCC which worked great for months (both HDMI audio and full 1080p resolution).
Summary: Bought this because my and all the new TV's don't have PC inputs. Older computer, Windows Vista on a dual core Celeron. Very easy to install. Put it in the slot, connected the monitor to it, booted and let it install basic drivers, then installed drivers that came with it. Rebooted and then connected it to the TV. It worked right away on my LG 32 inch Tv with the HDMI input and the sound is included in the HDMI ouput. Now I have a smart TV that I can watch movies on.
Summary: It's just okay. It's no beast, but for the limited power consumption it does pretty well. Trying to play Skyrim on High will get you about 10fps. Playing it on Low at 1024x768 will get you a playable framerate. Battlefield 4 crawls.
Summary: Lets not mistake this for high end. It works great as a bidget card for someone not doing anything heavily graphics intensive. Would recommend for any office desktop as a bump up from on board. Not for anyone trying to get HD quality or a gaming experience.
Summary: I bought this to replace an old graphics card that I accidentally fried. It works well for my purposes, though I wouldn't be able to play the latest games except perhaps on the lowest settings.
Summary: I recently purchase this card as an upgrade to my failing HD 4850. We aren't a hard core gaming family. most;ly just web browse and web based games. My wife does play the Sims 3 and we've had no problems running it on this card. I am think about getting a second card and running the Crossfire option since it is supported by my MB.