I would say look at the list of released and upcoming games that take advantage of the physx card. If there are enough of those are on the list that you wish to play to justify the price of the card, then only you can say whether it's worth it or not.
Very few, if any, new games seem to be able to use the ageia physx card. I don't think you should get it, as it certainly won't help with performance in anything else other than games that can use this card's technology.
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