I had one of these cases, and I had an extra intake and an extra exhaust fan. In addition, I got a small square of sheet metal (actually my dad did this), cut out a square in it and left flanges, and then mounted a radio shack squirrel cage fan. Set this up so that it sucked air from right above the video card and exhausted it out. Had to drill about 8 additional holes, but I used the same pattern as existed, so I doubt it will be noticable. I know, probably hard to picture without a picture, but unfortunately I gave the case away, so I don't have access to it right now. Maybe after I get my digital camera, I can get to it and take a pic or 2.