Summary: I have replaced the stock cooling unit with a water cooling one and the temperature issues are now gone completely, seems to just be a slight issue with the way they decided to use a blower style system instead of the multi-fan over heatsink style that other brands go with.
Pros: Plays any games I throw at it at max settings (minus antialiasing as I have a fairly high res display so I don't use it) across 3 screens. Stock fan is pretty quiet even at full speed.
Cons: With the stock cooling, the card sometimes got really really hot after a few hours of gaming. Never had any blackouts or display issues, just happened to notice one time when checking on something that the card had really heated up.