I have an LE version and have hit 192/192 and run several sets no artifacts...I run it at safe 185/185.
I have large fan blowing directly onto card and ram sinks...The ram is the weak point here. Many reports have it being only rated for 166 (may be for oems only, retail may be better). So like Pc133 ram the good stuff most can only get a 15-20% boost safely...I think the limit is around 195.
Using new tweaking programs at rage3d.com one now can asynch the mem and core...The gpu is much stronger and many have shown that gpu can go up and over 200. I have seen many 205-210's while leaving mem at 190-195, and getting increase in scores. Some argue fillrates decrease, but you will have to judge that.
GPU runs still cool...but I recommend placing a fan on it or do as I am with more direct air onto card...definitely ram sinks.