Others include overclocking as a given. I am the latter. I overclock at first boot to see just how much my hardware can take. I may back it down a bit to maintain stability, but I do not see the point in robbing myself of the added frames. If you overclock you need to cool.
Heat is the enemy of maximum performance.
Through the years, I have experimented with heatsinks, thermal tape, peltier devices and big fans to acheive the highest levels of performance my hardware can manage. The results of these tests pointed to a simple philosophy. Simple is better. The Product About as simple as it gets, I kick myself for not thinking of it first. The CardCooler has recently added the ball-bearing fan as an option.