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You will suffer performance wise when it is turned on, however, if you use it on an old enough game, you won't lose so much FPS that you can't play it normally at the normal settings that you like... meaning that it would probably work well for, say, Half-life or Deus Ex, but UT2k3 would stop your system in it's tracks with Truform on with all the other settings on what they would normally be with Truform off...
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