It's a brand new install, and I've only used it to game. Sc2 - League of Legends, WoW, Dota 2. Temps are great. Whole system is running around 45 C. Card specifically at 39 C.
Edit: Ran a Virus scan using Avast! Came back clean.
Edit: I updated drivers, and installed a bunch of windows updates. I seem to be getting spikes now. About 10-40 fps on lowest settings. I guess it's not a huge difference.
Edit: I reseated the cpu fan, it was a little bit loose. This fixed the issue, back to 120 fps in all games now.