My last card was an ATI XFX 4890 which blew up playing Deus Ex HR, i wasn`t greatly fussed for the card due to the racket of the the fans when they were on full, also ran quite hot as well.
Recently got an MSI Nvidia GTX 560 TI Frozr II OC and oh boy, what a card! Extremely quiet and runs The Witcher 2, GTA IV on Max settings, no problem. Wouldn`t swap it for the world