I had the exact same problem as Monk with my Geforce FX5600. Stupid grinding noise at beggining but than ironed out. Few months later saw it had stopped spinning and a fin had broken off. I shook it out and it worked again for less than a day. Eventually it packed in so now ive just taken off the side of my case and got a desk fan blowing in at full pelt. Not the most efficient cooler but it will suffice till i can buy a replacement GPU fan and they are proving difficult to find.
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