I happen to have an X1900XT myself and use a very good and cheap Arctic Cooling Accelero heatsink/fan. It's a dual slot solution, but it should open up one of your PCI slots. A few members here got it to replace the crappy standard HS/fan that the X1900 series shipped with. As to your other question....
Arctic Cooling
Quote:
Originally Posted by Gizmo[5h1t3]
ie....would the performance gain be noticable whilst gaming, with not using on board sound?
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In XP yes it will help performance while gaming, but in Vista(no Direct Sound)...not really