The system has run fine for over 3 years this way. Careful part selection has everything to do with it
I got the 650 ti to lower power consumption vs the 5770 the system was built with.
ITX board + undervolting the cpu to cut down on power consumption as much as I could helps.
With the 5770, I was unable to pull over 180 watts(Just Cause 2 + Prime95 under 150 without prime95) at the wall according to my APC UPS.
For a quick test I just ran Guild Wars 2 with Prime95 eating most of the leftover cpu power. I can not make prime use ALL cores or the video card will become bottle-necked
Note the peak power use in hwmon. Click for full image.
Specs for that system.
H55n USB3 board
i5 750 undervolted (Gemini S cooler and 1200 rpm Globe fan)
GTX 650 ti(MSI Cyclone II model)
3TB WDC Red 3.5 inch
1TB WDC Blue 2.5 inch
128 Gigabyte M4 2.5 inch
Slot load slim optical drive(laptop drive).
2 x 4gigabyte corsair memory(rated for 1.65 volts running @ 1.35)
All in a SilverStone SG05 case.
This does NOT mean I recommend other users run lower wattage power supplies on systems. If I kill it one day(3 years thanks to careful part selection) from this. I take all the blame.