I have no problem with my VF-900 as it has dropped the temps by around 20oC, but it has no method of removing the heat from the case, and this in turn means that on the NForce 4 boards, where the northbridge is slap bang next to the PCI-E slot, the northbridge chip gets hotter than it would otherwise. TBH it doesn't get that hot, but what it does do in my system is cross the temperature thresh hold where the northbridge fan speeds up, it then cools down and spins down, heats up and spins up etc etc, and in game it has become noticeable. I was going to mod a freezer 64 heatsink and put that on but the Scythe Ninja I have is too big and gets in the way.
I don't believe the accelero is any better in that respect as it actually directs the hot air on to the motherboard. However the VF-900 and possibly the Accelero would be better in a case that has better air flow than mine as I only have a single 120mm exhaust fan and an intake fan would push air away from the northbridge. Also motherboards that don't use the NForce 4 chipset and/or have the northbridge in a better location may not suffer the same issue as my PC.
In summary, the VF-900 is a great cooler, but works best on a system that has reasonable air flow and/or a north bridge that is out of the way of the GPU exhaust gas.