Cooling and noise production
We measure the temperature after two runs of Metro 2033. MSI's cooler works great here, the 54 degrees lead to a shared first place. The level of noise is less stellar, as it's noisier than most other GTX 680s.
In Afterburner you can force the fans to blow less hard, thereby decreasing the noise quite a bit as long as you don't mind the card getting about 10 degrees hotter.