I took the plastic cover off. Removed what little dust it had.
The fan works. I dunno what else to do.
Starts off at 67 when I first boot up and rises to 80c.
Sad thing is I bought a new i7 920 system because I thought my old q6600 setup was broken. It was bluescreening in windows. Didn't notice the card was idling so high. Still not sure if the card caused my old q6600 setup to crash.
-Either your Heatsink is out of place and needs to be corrected or the card is being choked of air to cool itself off. I would open up your case doors or anything that would allow the most airflow inside and let the card breathe.