I used one of these for a while in my gaming rig. Here's the basic rundown:* Pain-in-the-butt to install. For AMD it requires you to remove parts from your motherboard. It also requires access to the bottom/back of the motherboard, so make sure your case has a CPU access window!* Huge! It takes up a lot of space in your case. This thing is massive!* Loud. It's not a quiet cooling solution. It gets pretty loud. I've heard louder, but not many.* Effective cooling. While it's loud, big, and a pain to install, it does cool the CPU quite effectively and handles overclocking quite well.* Complete. Everything you need is in the box. You shouldn't need to get any extra parts.My opinion is that it's a good cooler with a lot of unfortunate negatives you'd expect for a CPU cooler of this kind. No, it's not as small, quiet, or efficient as liquid-cooling, but it's also less expensive and not as complex as liquid coolers.Advice: If you're on a budget but want to overclock, this is a good place to start. If you can spend a little more, and don't mind learning to hook up a different kind of CPU cooler, then look for liquid cooling solutions, instead.If you're not going to overclock this is more than you'll need, for sure. 

Question: How is the quality of the noise?
Answer: This thing is massive ! * Loud