Have you tried pulling the card out of the PCI-E slot to reseat it? Not sure if it's going to help.
Heres a list of things i have tryed
Upclocking the "energy save mode" to 400 mhz (2d/3d artifacts still viewable)
Removed and cleaned twice from case (reset)
Changed power connections
Updated, Downgraded bios/drivers from xfx
kept a week long log of temp, never broke 59 C with load (crysis/hl2/tf2/borederlands/dirt2/benchmarks)
Keep GPU-z up to watch if it leaves "energy save mode" which it does when 3d engines come up (games...etc)
I've contacted manufacture, they told me to try the drivers.
Cleaned reinstalled drivers multiple times.
What i havent tryed:
changing the voltage, cant find software for this card to do it, umm, a 650 psu should be more than enough for this card, but i dont have anything bigger to try it out on
More info: this are no artifacts on bios screens, no artifacts when no ati driver is installed from what ive seen. ive forum dived everywhere possible and had pretty much the same response over and over. And i have tryed everything, so it look liek RMA is the only option. This card seems to have trouble with a lot of people, but it also seems to work amazing for others, maybe its my set up. But hopefully an RMA will get me a less broken or a card that will like my set-up better.