They come in those plastic and cardboard packages like batteries. As you can see, these are GENUINE Tweakmonster Ramsinks, not "wanna be" immitations that we've seen floating around the net. A set of 8 is needed to do one video card, and they come in packages of 4, so when you purchase them, expect 2 packages. No form of thermal pad or frag tape is included with purchase. Make no mistake, these are designed for the hardcore overclocker and crazy modders out there who are expected to have some form of thermal adhesive at hand.