Sapphire, along side Vapor-X know how to cool their AMD GPU cards well. It'll only be noisy if you choose to overclock it. The price and performance you get out of it is a main feature despite it being an afterstock cooler. I've benchmarked it with single and 2-way Crossfire. It's an overkill in terms of 1080p for one card on just about all modern games. 4k on one card struggles even with overclocking. Less than 30 FPS is not viable with it. 2-Way Crossfire is fair game, however and is playable on that resolution.
Another benefit is that it has TWO Dual-Link DVI ports.
With all that performance, comes to slightly more noise. It's surprisingly not overwhelming and it's tolerable. I'd look elsewhere if you're attempting to find a quiet card to work with.