Some photos were leaked of the Gainward GTS 450 GOOD, an upcoming low-profile graphics card with a cooler that blows the hot air out of your case.
The PCB seats the GF106 GPU right in the middle. While it looks long, it's only because the PCB is half-height to give that illusion. In reality the PCB is 7.4" long, not longer than the full-height NVIDIA reference PCB, and should fit in most SFF cases that have two expansion slots. The PCB uses a simple 4-phase VRM driven by an ON-Semi controller, there are four GDDR5 memory chips on either sides of the PCB, totaling 1 GB. The clock speeds stick to NVIDIA reference: 783/1566/900(3600) MHz, display outputs include and are limited to one DVI and an HDMI. Power is drawn in from one 6-pin PCI-E power connector facing downwards à la Radeon HD 4870 X2. Gainward's card may charge a slight premium over the full-height cards, for the convenience it offers. More pictures at the source.