If you are seriously considering buying an X1900 XTX, then it is well worth paying the extra money for this card as the noise reduction is dramatic. The extra performance is just an added bonus.
However, the 7950 GX2 is simultaneously faster and quieter for the same money. The X1900 XTX on the other hand has the option of HDR and FSAA as well as the possibility of running in Crossfire (assuming you can get hold of a similarly cooled master card).
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