I bought this card for a new build that I was putting together. I paired this card with an i9-9900k and 32gb of 3200mhz ram, I put it all on an Asus Rog Strix z390 E motherboard. I installed everything and booted up the computer, installed everything, opened MSI afterburner and started playing. Mainly I play Apex Legengs right now so that is what I am going to base this review on, I've had the card for two days and have not had a chance to try any other games. Anyways, booting up Apex and leaving everything on mad settings, 1440p 144hz the card runs at 70-95%. Auto boost clock running at 2050 out of the box with no tweaking. I have pretty good airflow, but running this card with these settings the temp peaks at 55c and does not dip below 144hz. So far with performance I am absolutely pleased. Noise: For me, aesthetics and noise come secondary compared to performance. I play with noise cancelling headphones, and when gaming I have 8 fans spinning up anyways, so I have not really heard the card over the rest of the fans in the case. All I know is that my temps are perfect, and I am happy with it. Looks: This card looks amazing in my opinion, it has a pretty simple design and I love it. The card is solid and sturdy. I do wish that the Geforce RTX logo was changeable but I can live with that. A couple of side notes: The reason I gave this 4, not 5 stars, is because when installing the GPU into the mother board for the first time the bracket and the PCI slot were not lining up. After further inspection I found that the mounting bracket was bent at the top where it slides into the case, maybe 2 off. I bent the bracket straight by hand, and it went right in. Although I would prefer to not recieve a card bent out of the box, it works perfect and I'm not waiting for a replacement. Maybe Nvidia can chime in to how a $700 GPU comes with a bent bracket out of the box? Also, and this has no effect on my review, the first day I had the card in everything ran perfect. My temps were slightly higher, but that was because I didnt plan far enough ahead to realize that the mother board only offers 2 Chassis Fan Headers and a couple others, so I only had 3 fans running in the case. Since all my fans are corsair and I did not want to buy splitters, I purchased a commander pro to control fan speed and RGB. To get the iCue software to control the PWM fan speeds, I had to update iCue to the latest version. I put everything in, booted up, upgraded, played with my speeds, and started playing. My gameplay went from 144fps butter smooth, to 100-120fps and stuttering. I couldn't shoot anything. I thought maybe I plugged something back in wrong. After troubleshooting I figured out that the iCue software is the root of the problem. Uninstalling iCue and rebooting the game, everything goes back to normal. Would I buy it again? Yes I would.