Got this card for my son who is budding gamer, his netbook was not specced for games, so decided to upgrade the home desktop.
I had checked with pc store on the high street and for my needs and budget he recommended this unit, i then shopped on amazon for a better price than the high street (saved 30euro)
Unit was simple to install, just plug it in, came with driver disk also, was up and running in 15mins.
Have not noticed any extra fan noise, or experienced any problems.
Microsoft experience score went from (Gaming 3.7, Graphics 4.1) to Gaming & Graphics 6.8, which is a nice improvement.
Desktop is a few years old, running AMD Athlon II (x2) 2.8Ghz, 6GB DDR3 RAM, Running display off DVI port to 21" digital display.
Card has VGA / DVI & HDMI outputs, takes power from PCI slot, so no issues with cabling etc..
My son is delighted with improvement in his gaming experience, can play now at high quality graphics and no lag at all.