So slightly concerned my GTX 480 is ideling at 72C, I went into precision and adjusted the fan profile to get it back down to 54C but it runs the fan at 79% to hold it in the mid 50's. What is going on.
 
Using the latest drivers

if it helps I'm connected to two displays

The card may just need thoroughly cleaned/blown out with canned air..Or disassembled and the TIM replaced, using only a BB-sized drop of TIM in the center of the GPU chip.
 
And/or:
 
If the card won't throttle down/runs hot due to the dual displays, you could grab NVIDIA Inspector and right-click on Show Overclocking and then Multi Display Power Saver..Select the Target GPU, then set the Activate Full 3D by GPU Usage - Threshold to, say, 40% and see if it helps.
 
You could also try running Display Driver Uninstaller in Safe Mode to uninstall the Graphics Driver and optional driver components..Then install the latest NVIDIA Driver using the Custom (Advanced) option and select to install only PhysX along with the Graphics Driver..The other optional driver components can be installed at any time.
 
Just a few things here.

Already cleaned it when I bought it 6 months ago, was running fine until the 2nd monitor got connected. I thought Nvidia fixed this problem 5 years ago

What are your ambient temps? 

The apartment is 72F, my Xeon E5450 @ 3.6 with 1.4V is 33C idle, and my motherboard sensor says 29C idle 
 
Its an Antec Elevenhundred, the 2 side 120mm Fans are blowing onto the card, and it has great airflow

Running 2 displays it may be pushing full 3d clocks even just at desktop, it should idle at like 50MHz I think.

that is normal temp for this card in idle with 2 monitors....

Ok well its fixed, I disconnected the 2nd monitor and its not trying to cook my computer anymore at idle only during games

candle_86
if it helps I'm connected to two displays

VegetaCreeper
that is normal temp for this card in idle with 2 monitors....

Creeper is correct. It's normal for 2 monitors to have higher than normal temps. It's doing twice the work, it's alway been that way.
 
480 are a little hotter than most nvidia's line up. I've two gtx 480. I've re-pasted one of them/ The other is going out for rma. After 6 years of faithful service it turned into red dots.