Though it seems almost completely obvious, ASUS is actually “innovating” by making a video card that has a the GPU on the other side
of the PCB. Violating the ATX specification, reorienting the GPU in such a fashion results in a card that actually has (so you'd think) better heat dissipation in a standard setup. Rather than warm air getting potentially trapped underneath the card, this helps pull heat off it more efficiently. Needed, for sure, as video cards quickly approach CPUs as the most power-greedy components in a desktop system. The Extreme N6600TOP Silent is such a card that ASUS is making available, and is completely passively cooled, making reversing placement even more of a benefit. Asus claims the temperature difference can be as much as 30 F as compared to a standard 6600. The card isn't available for retail yet.