Thank you. I will try all of the above starting with clearing dust, the thermal paste, and if it is a bad fan then I think I will just save up for a new card. The fan seems to be ok though. And yes I know its a relic lol.
Thanks to all who replied. Hopefully the thermal paste and cleaning will solve the problem cuz I can't afford a new card at the moment. At least not a card of the quality I want. If I'm going to get a new card might as well save up and get a decent one. Thanks again.