There are a lot of graphics cards on the market, and it can be tough to choose the best one for your needs. If you have a budget of $200, you can still get a decent graphics card that can handle 1080p gaming at medium to high settings. According to various sources, some of the best graphics cards under $200 are:

1. Asus Radeon RX 570 ROG-STRIX-RX570-O4G-GAMING: This is a powerful AMD card that has 4GB of GDDR5 memory, a boost clock of 1310 MHz, and a dual-fan cooler. It has one HDMI port and two DisplayPort ports. It supports FreeSync technology and can run most games at 1080p with high settings1.
1. Palit GeForce GTX 1650 StormX: This is a compact Nvidia card that has 4GB of GDDR5 memory, a boost clock of 1695 MHz, and a single-fan cooler. It has one HDMI port, one DisplayPort port, and one DVI-D port. It does not require any external power connectors and can run most games at 1080p with medium settings1.
1. Gigabyte GeForce GTX 1650 OC 4G: This is another Nvidia card that has 4GB of GDDR5 memory, a boost clock of 1710 MHz, and a dual-fan cooler. It has one HDMI port, one DisplayPort port, and one DVI-D port. It requires a 6-pin power connector and can run most games at 1080p with medium to high settings2.
1. Sapphire Radeon RX 580 PULSE 8G G5: This is an older but still capable AMD card that has 8GB of GDDR5 memory, a boost clock of 1366 MHz, and a dual-fan cooler. It has two HDMI ports and two DisplayPort ports. It requires an 8-pin power connector and can run most games at 1080p with high settings1.
1. MSI RX 570 ARMOR 8G OC: This is another AMD card that has 8GB of GDDR5 memory, a boost clock of 1268 MHz, and a dual-fan cooler. It has one HDMI port, three DisplayPort ports, and one DVI-D port. It requires an 8-pin power connector and can run most games at 1080p with high settings1.

I hope this helps you find the best graphics card for your budget and gaming needs!
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