Well, that depends on what you are powering. I have the modxstream. In the case of the stealthxstream:
http://www.ocztechnology.com/resources/drivers/600wchart.JPG
As an idea, The +12V rails are heavily used for the CPU and video card.
Based on the ATX standard pinout charts and the colours of the wires, the following devices draw power from the following voltages. Or, at the very least, it has wires connected available to it from these voltages:
Hard drives, DVD drives, Video card (a single pci-e power cable has 3 of these +12V wires), CPU (the CPU connector give the CPU access to two of these) all have dedicated +12V wires available to them. The hard drives/DVD drives also have a +3.3 and +5V available to them. The ram I believe runs on the +3.3 rails alone.
Watts is Voltage times current but combining the +12V rails does not mean adding the current.