Well, now we may be able to really see the answer to this thread:
http://forums.anandtech.com/showthread.php?t=2348743
Or, better known by its title. "Get to know Viral Marketers through Hardware History," except it isn't by hardware buying history but by the insane FUD flowing throughout this thread.
"43dB will cause hearing damage."
(No it won't, even long term. And since a gpu's fan creates steady state sound vs. impulse sound, it's much easier for the ear to compensate. Steady state sound is sound that is constant, like a lawn mower or fan spinning. Impulse sound is like a gun shot or explosion. The human ear, or more specifically, the cilia in the cochlea, can much easier deal with steady state sound by "laying down" to reduce the effects of increased sound levels presented to them, something they can't do with impulse noise. The ringing in the ears that people have after exposure to steady state noise, say after going to a rock concert, is from the cilia attempting to "stand" back up. But it takes much higher levels of sound pressure over long term exposure to even elicit any sort of hearing impairment, such as ringing in the ears, much less long term damage.)
"3dB is twice as loud..."
(No, it's not. 3dB is generally accepted as the smallest increase in sound pressure/intensity that humans can perceive. It takes a 10dB increase in sound pressure/intensity for humans to perceive a doubling in "loudness.")
"engineering trainwreck"
No, only the cooler is not great, but at the price point AMD hit with this card, it's darned acceptable. The engineering that went actually into the card is damned impressive.
Sheesh. The FUD and damage control is outa control in here. And I'm currently running a GTX 780 in the computer I'm using as I type this, so certainly no AMD acolyte .... nor am I an Nvidiot.