The possibilities range from nothing to setting your computer on fire. It's possible that a low-end, low-quality PSU will work fine for it's entire rated lifespan, and it's also possible to get a high-end, high-quality PSU that's DOA, or that fails long before the end of its rated lifespan. Having said that, looking at the numbers, reviews, customer feedback, incident reports from fire departments, etc., the smart money is on the quality PSU, even at the higher cost.