I don't think there has ever been a perfect vertical mount, each has its drawbacks, this one probably stands above many of them. I've had 3 different cards in my PC on this mount, all pretty big and chunky and it's been pretty good. Positive: Looks good, fits easily into my o11 speaker, adapter cable didn't cause me any problems either. At the moment I believe linkup is the only company that has a 4.0 vertical cable that works without problems. I really like that it has vent cutouts and doesn't prevent me from installing fans from below like some GPU mounts do. I/O keeps my card tilted down. To fix this I had to dig up some shims to raise the riser a bit. Build quality is ok but I really didn't like that, after installing it I noticed some metal shavings and paint peeling from installing screws on the back of the case and finally the base is compared to others There are HUGE options, and it only comes in black (looks weird since I have a white case), so it pretty much covers all my fans. Overall, I still think this is the best option for an all-in-one solution.
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