The small fan can make some noise so you may want to look elsewhere but it wasn't that bad for me. I got this card last time it went on sale and the noise isn't audible from about 5-7 feet so depends on where you have your htpc setup. Low profile so it'll go in just about any case.
Thanks to the OP for posting this. I received one last night (ordered day before). It's very quiet, almost silent; great for a HTPC. In fact, I put this into my HTPC because the existing Geforce 210 is too loud. Also the WEI scores went up noticeably.
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