Depends on your setup. I have a HTPC with an X800 and when the fan goes on high, it is very noisy. But in my regular full tower case with 10 other fans, it's barely audible.
Any noise problems with these cards can be solved for 30-40 USD including shipping by buying an artic cooler. There are even some fanless solutions that work well too, although I have not personally used any of thoes.
The cooler on my Gigabyte X800 Pro is very quiet until the fan kicks in to ultra speed (usually after 30+ minutes of serious gaming). During normal usage it is almost silent.
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