Summary: I purchased two (2) of these graphics adapters to upgrade a Dell Optiplex 745 and a friends P4 class Gateway (UUGH). Merchandise arrived on time and was well packaged. The cards were new and clean with no bent ears due to mishandling. (Sometimes things get dropped) (OOPSEY). Card installed easily in both machines and drivers installed from the included driver CD without incident in windows XP and Windows 7.
Summary: I recently installed this in an old computer to bring it up to somewhat acceptable video standards and it seems to be pulling its weight. Now consider this isn't a gaming card, I doubt you could run any new games beyond "medium" or "good" quality graphic settings. It's strength lies in its format and fan-less design. On that note I would like to mention that the card idles at around 48-50 Celsius when on Win7 desktop.
Pros: Low profile and small size, Noiseless, Draws power directly from motherboard so no need for PCI-E cables
Cons: Could potentially run very hot if case does not have good air flow
Summary: Just installed it on a Dell optiplex gx620 which had no dedicated videocard. I dual-boot windows 7 32-bit and Ubuntu 12.04.3 32-bit and installation was easy and painless on both. If you use Ubuntu just get the experimental beta driver if you want to play games on steam or else keep the opensource driver. Didn't had the time to test the hdmi output yet, so I can't tell if it is good or not.
Summary: I purchased this card as a temporary replacement for picture editing until i find a higher end card that will handle my gaming needs as well. I was surprised how well this card works for the price. Not only does it do a great job with Photoshop CS6, it actually handles both older and some newer games. Because I was curious, I launched Diablo 3 Reaper of Souls with every setting maxed, and the card doesn't even stutter!