NVIDIA GTX 595 (picture+Details)

[Lanek]

I second that. Water cooling isn't that widely used.

The problem is not watercooling or not... this is a model reference, you have Sapphire, Asus, XFX + HIS who will have their own 6990 models, most stock 880-900mhz with their own cooling design.

If really the sound of the cooler is a problem for one, use a third party air / water cooling or buy an AIB models is not a problem at all .. And again, i have myself got more infos about the noise, and try the card in a shop friend..
untill you mesure under Furmark load.... in games the level is absolutely normal ( well in a good ventiled case, so with some fans running ). Ofc as all card if you push the fan to 100%... good luck.

You have the Artic cooling solution who was alllready dealing 450W for the 5970 and a model is allready in line for the 6990 ( should be in stock soon ) ....

ofc this work too the other way for the 590...