Yes I have overclocked the card, it does 440/1.9 100% stable. But if I go past 440, it hard locks. If I go past 1.9, I get artifacts. I have yet to see anyone go past 440 core without a flash to add more volts, from the default 1.3. People who have upped the volts to say 1.4, have gotten about 10c higher temps, but speed of up to 460. Im happy with 440, but I game at 435. I like to be just a "tick" under a full overclock, just for peace of mind. I have it setup to auto go to that speed in 3D, it has never locked up on me.
The reason I got it was because its so slim. The DD block would not even come close to fitting. If you look at my pics, the chipset block and GPU block are very close. In fact I had to dremel about 1/8" of the chipset block down from the left corner for it to even fit. The DD block is MUCH thicker and wouldnt have even come close. And also like you said, in SLI the DD block wouldnt work.
I wanted the Aqua block more, but it wasnt announced when I got this one. It was about a week later, sigh. Yes it is aluminum, but I dont think it will alter temps much. The Innovatek one is as well, but has a copper GPU core section. Over at the Aqua forums, temps seems to be very good with it. I would like to see an exploded version of it though, just for my own curiosity.