The Twin Frozr IV convinced by size and performance, the card remains fairly quiet with standard voltage.
What makes it better than a GTX 680? Larger and faster (384bit instead 256bit) memory and the ability to produce high resolutions with anti-aliasing and anisotropic filtering to calculate faster.
In addition, the triple OpenCL performance of this card is remarkable compared to nVidia's king.
I highly recommend this card highly. A Spulenfiepen is absolutely not to be heard in this individual design of MSI.
Water cooling is from EK Water Blocks now protected by a gigantic water cooler! ;)