I had an ATI card, a 9500 which softmodded to a 9700 that played Half Life 2 well in Windows, but could barely manage the lowest resolutions running under Cedega.
I eventually took the plunge and bought a Nvidia card so that I wouldn't be reliant on Windows, and the experience is so much better! I bought a 6600GT, and while Windows performance/quality is still better in every case, games like counterstrike run smoothly.
As for the choice between them, you're right, Nvidia is still the only option imo.
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