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Both have EAX.
The Titanium has X-RAM, the gamer does not.
If you want a good PCI x-fi card, but don't need the X-RAM.... maybe 2 games ever used it... get an Xtreme Music. They can be had for $30 off of Ebay.
If you want PCI-E, then get a PCI-E Titanium..
And whatever you do, don't get an Xtreme Audio as it doesn't have hardware acceleration.