my current rig (in a big case, 22" or so off tall) has only one fan going, an 8cm right by my 4850 (single slot cooler) as exhaust (i don't want alot of noise, so it's like 35% fan, but , 80c average gaming)... other than that my silent cpu, and my 12cm psu fan. cpu is 20/40, graphics is like 66c (F@H = 40% load constant) and about 80c for games (not quite 100%)... Mid towers need it , but the way my system is the psu takes the cpu exhaust out, and the 8cm takes the gfx exhaust,creating a slight vacuum, pulling air in through my front fan slot (not running) and over the 2hdds