Summary: Yup, I had to use the kit and use two card slots to get this card to fit into my low profile cabinet. And it was difficult because the length of cord they give you is not quite long enough to reach.
Summary: Bumped my windows score up from 3.9 to 4.7. gaming graphics went from 5.1 to 6.4. Bought it to play diablo 3. Right now I'm running it at 1920 x 1080 full screen. Looks and plays great. It's paired with a core 3 duo e4500 and 4 gigs of ram. Very happy with this card. UPDATE.