I've had this GPU since Dec 2020 and upgraded my PC. Only comes as GPU, nothing extra (will be in bag shown in first two images).
No known issues beyond occasional black noises that will appear on screen for a millisecond when browsing web (unsure if this is related to GPU or something else).
This card has not been pushed hard/to its max for long periods of time (if really ever), and other than some dust is in pristine physical condition.

Message me if you have further questions.