eVGA has been known to sell high end cards with factory installed water blocks
AMD has some rather hot running GPUs but I have not seen water cooled cards from anyone yet.
Personally I am not into water cooling. CFX/SLI can provide better game performance.
That or wait for the next gen gear.
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Corsair Carbide 300R, TX850V2, Asus M5A99FX PRO R2.0, Phenom II 965 C3 BE, G.SKILL RipjawsX DDR3-2133 8 GB, GTX 260 SLI, Asus PA238QR, Windows 7 x64 Enterprise
Asus M4A77D, Athlon64 X2 4200+, DDR2-800 6 GB, HD 5450, cheap 450W, Server 2012