Coolink GFXChilla VGA Heatsink

I'm always looking for the right balance between proper cooling and noise output. Remember the old cases and cpu coolers you used to get that where so loud it was plain stupid, luckily things have gone a long way and we have abandoned 40/60mm screamer fans (remember the old Deltas? ) but today still I have to say the loudest component in my PC is my video card.

But let's face it, now-a-days graphics cards make waaaaay too much noise... not to mention high temperatures.