If you're limited by space but you have at least a 450W power supply and the optional 6pin PCI-E connector, you can try the XFX ATI HD5770 single slot card for around $120-$150 I think... You can get much better cards, depends on what you're playing. HD5770 will handle most games and it was at the price/performance sweetpoint along with the HD5850 (~$200) a few months back. This is enough to run civ5/SCII at full resolution with no hiccups on my PC.
Anyways with NVIDIA cards they tend to run hotter and have higher power requirements. At the mid level their cards weren't worth it because they didn't perform as well for their price, but higher end was a diff story. This might have changed in the last 3 months since I bought my card.
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