Originally posted by: AstroManLuca
Would it make sense for the OP to get an aftermarket cooler since his current one is broken? Or would repairing his current one do the job?
If it were me, I would first check into any support that may be of current service. If you purchased a warranty plan from the seller that would be one avenue, but if you didn't I would try contacting Sapphire and see if your situation is possibly covered at all.
If you don't have any product support, I'd then see what your temps are with 3/4 screws in place. To keep a close eye on them you can open your Catalyst Control Center (CCC) and record your idle temp every 10-15 mins for a period of one hour. If those look good, try running a game for 5-10 mins and stop to look at the load temps. You can continue to do this for however long of a period you wish, but just make sure to not let it run too long at load without supervising its temperatures until you have a history of expected ranges in which it fluctuates.
Also, while you can check temps with CCC, I myself use ATi Tray Tools since it has a monitoring program that you can easily minimize and it will record a table of your temps as well as the corresponding time in which the GPU reached them. Note, either method works; it's just personal preference.
If temperatures seem fine, I'd think about how the card is positioned. In a normal ATX case, over time, the heatsink may separate from the GPU slightly since it's both hanging and missing a screw. In a BTX case, the heatsink lies on top of the GPU and may not be as apt to separate. Depending on your situation, this may or may not alleviate some concern.
If temps aren't fine, then don't use the card. At this point, purchasing an aftermarket cooler would be on way to salvage the purchase.
Again, all of the above is what I would do. Feel free to do as you wish. For what it's worth, you'd be surprised with how well a heatsink can still perform even when missing a screw and I'm going to go out on a limb here and say that the card and its temps should be fine under your circumstance. That said, knowing myself, I'd be too anal to let that fly in my rig.