I purchased the ASUS model with the reference style cooler.
This thing runs HOT! Temperatures reach almost 80 degrees C under load and never drop below 50 C. This is within the operational parameters of the card, but it's a little too hot for my taste. Also, the fan is EXTREMELY loud! I got this model because the price was right, and I tend to trust the Asus brand even though I probably shouldn't. I purchased a GXChilla aftermarket cooler for the card after reading a review which showed a 50% drop in temperatures and a noted drop in noise level, <20db.
I installed the aftermarket cooler which cost about $22 US. My temps are now less than 40 C at idle and less than 50 C under heavy load. And the fans are much quieter than the stock ones.
So, in summary, you can get the stock cooling system, just plan on spending an extra $20-$30 on a new cooling solution. This is probably not as cost effective as buying the HSI or the MSI models which have a nicer cooling method as is.