Most mainstream solutions will be quieter than a blower at full tilt (i.e. the normal GPU design on having fans on the face that blow air back into the case). That said, blowers aren't inherently stupidly loud or anything. I've got a reference model blower 5700XT and have the fan curve set that I can't ever hear it with my (open back) headphones on and never really go above 80C. If I said fuck it I could turn the fan curve up and have it sound like an original Xbox 360, but my temps sure would drop!