At first glance the card looks similar to the other EVGA GTX 295 cards (other than the red one). It's not! This card features a copper and alluminum waterblock that fits between the two PCB's. You will need a water coolign kit to get this working. It is pretty simple, you just connect it and go.
Fudzilla did some testing and it is official: The EVGA GTX 295 HydroCopper kills all.