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No, not really.

A tower PC is a case that is designed to allow more 5 1/4 inch or devices to be fitted as well as more internal hard drives than a MIDI or standard desktop case would permit.

For example - in a tower you might have two DVD drives, a temperature monitor, a coolant unit and an Audio front panel all mounted in the 5 1/4 inch bays.

Many desktop cases only have two 5 1/4 inch bays.

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Q: Can you simply turn a desktop computer on its side to create a tower PC?
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