Passive cooling and gaming are not necessarily an oxymoron, with a massive watercooling radiator and some slow spinning fans, you can get as close to damn it passive, and silent.
Ive been running an antec P183 with an intel 975xbx (passive) and E6600 (stock) with a scythe orochi (cooled by the case fans) and originally a pair of xfx 7950GT (passive) and have recently upgraded to a sapphire 4670 (passive). I used a NorthQ fanless powersupply.
All in all I have two tricool case fans on lowest speed setting, which is basically inaudiable unless you put your ear against the case. The max temp on my proc. is about 58oC after a few hours of divx encoding.....
So it can be done, it just takes a bit of thought and planning (and some cash)