I'm happy with the overall aesthetic, it came together pretty nicely.
Between the heavy GPU and slightly flexible vertical mount, there was a bit of GPU sag. This was resolved with an Antec support bracket (visible under the card.
The drain port was really hard to reach, so I attached a drain tube that goes out the back of the case. Its secured up and out of the way with velcro straps.
Detail of the tube run around the GPU and into the CPU block.