Can i use an integrated video and a second video card for extended desktop monitors or do i need a dual head ?

Typically the moment you plugin the external card, the onboard video is disabled. Hence you end up needing two cards.

If you have an AGP system, you may have difficulty mixing/matching it with a PCI card (secondary display). If you have PCI Express, you may have better luck.

Dual-head cards maybe a better option.

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