Not sure how wide spread the knowledge is, might be old news but thought I'd post it up anyway.

There's a new card maker that uses oversized cooling fans on their cards compared to ATI and Nvidia reference designs and have made the prices basically the same as the reference design.

The company: http://www.vvikoo.com/

Couple of reviews: http://www.cpuid.com/vvikoo-8600gt-hd2600pro.php