I use Medusa 5.1 ProGamer 5.1 headphones. They are extremely good. After using them, I will just never, ever be able to go back to using standard headphones.
As RK-Mara said, you don't need 5.1 headsets anymore, it was only needed prior to 2005.
I'm using the Sennheiser PC155 USB and bypassed the Creative soundcard all together (or if you prefer, you can use the enclosed plugs for an highend audio card). Comes with a built in background sound dampening microphone, which is great for online playing next to some noisy fans.
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