I have a Zalman CNPS7000 on my Athlon 64 and it works great. It's usually running less than 10 degrees C over ambient slightly overclocked. (2200 @ 2255 right now. I haven't really tried going higher.) It's also quiet, especially compared to the HS/F I have on my old Athlon Thunderbird which sounds like a jet engine when you're sitting in the cabin.
I wouldn't say any extra cooling is necessary if you're not really pushing your hardware. Replacing loud stock cooling with something quieter is not unheard of. I think adding more case fans tends to make more noise rather than actually making the cooling more effective. I doubt anyone really needs more than two or three. I can't think of extra hard drive cooling ever being necessary as long as your case has decent ventilation, and even if it doesn't, the solution is to make your case have decent ventilation instead of actively cooling the hard drive.
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"Prohibition will work great injury to the cause of temperance. It is a species of intemperance within itself, for it goes beyond the bounds of reason in that it attempts to control a man's appetite by legislation, and makes a crime out of things that are not crimes. A Prohibition law strikes a blow at the very principles upon which our government was founded." --Abraham Lincoln
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