nothing more than foam, the card, and some pieces of paper. Not sure on the 120hz, but I use an active DP->DVI adapter for my 2nd screen and it didn't complainAlso for those of you who received the cards, are there any cables etc included? I know these come with 3x dp and 1x hdmi - my monior currently uses 1x dualdvi, with no DP on it - am i going to have to order an adapter for this (and will that still allow 120hz).