I was pissed off at my video card fan making noises, but didn't want to shut down my computer. So I pulled the power cord...while the computer was running. I wouldn't recommend it. (Just sayin...it worked for me).
I don't really play any intense 3D games, so I doubt the card gets too hot. If you really want to run without a fan, you could investigate some drivers/utils for the card that will let you change the clock speed. If you bump down the clock speed, there is less chance it will overheat.
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