Here's the problems I have with my 550ti (0x10de1244):
-Bluescreens on resolution change
-Unable to wake from sleep
-Artifacts after wake from screensaver or display sleep
-Sometimes unable to exit iTunes fullscreen
-3d artifacts blinking (esp. in Minecraft, never had the problem in Lion)
-Need to inject AGPM in order to fix lag
I'm going to try transplanting the Lion NVDAGF100HAL.kext, NVDAResman.kext, NVDANV50Hal.kext, NVSMU.kext into ML, see if there is any improvements. I don't have a Lion install on hand, so can somebody attach those? Also, can other people try too?
In case you're scared of kext transplants, note that your audio is probably working because of a kext transplant.
It worked OOB for me, but I used a EFI String injection to get the correct VRAM to be identified and modified AGPM to fix lag.