The Sapphire HD 4850 Toxic - this comes with a Zalman cooler, but potentially Sapphire could let you change that.
This September(ish) Sapphire will open its new web-shop. We've no idea of the global coverage yet, but those who it will serve will be able to buy a range of products including graphics cards (obviously), as well as your choice of third party coolers to go with them.
So if you preferred a Zalman to a Zerotherm on your brand new HD 4850 - you could custom spec it! The range will vary from product to product though.
Also available will be extras like HDMI cables, HDMI dongles and other knick-knacks that you sometimes need but never know where to buy, other than scrounging on forums or scouring eBay.
To be honest, we're not sure why this facility hasn't been offered before - it must be a lucrative market that no one has yet tapped and even if you don't own a Sapphire card but want a HD 4870 cooler or need a component break-out cable, this could be the perfect option. That said, we would like to know shipping costs for stuff like a mere cable or dongle.
Now all we've got left to wait for is an online shop for motherboard parts - how many times do you get one that doesn't come with S/PDIF brackets or all the SATA cables?
Are you in need of some extras for your graphics card? What would you like to see Sapphire stock? Let us know your thoughts in the forums