"Hellish" doesn't begin to describe it. I put my GTX295 in there... and, well.... you'll see.
PICTURES:
Outside (with the obligatory Beer bottle for size comparison):
Interior with no PSU:

Looks a little cramped doesn't it? You have no idea...
Behold!
Corsair H50 Clearance underneath the optical drive - Milimeters to spare:
GTX295 blocks half the sata ports, so I got creative with some 90 degree connector cables:
GTX295.... a 10.5 inch long card. A card thats 10.6 inches would not fit.
the end of the card is almost touching the fan hub! the gap is so small i couldnt even take a picture of it:
And last, but not least:

... I don't even have an explanation. Too much going on in too small of a case. Remind me not to build one like this again.
Your thoughts executor?