I'll try to explain this the best that I can.
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With all the Multiple Railed PSU's out there now what does it all mean.
For Example. Are Four 12V @ 18 Amps Each == 72 Amps?
Here is a PSU review from JonnyGuru for a example that fits this scenario pretty good. There are 4 12v rails with a rating of 18amps, but notice that the combined total output of all of the 12v rails is 680watts/~56.66amps. Each individual 12v rail is capable of 18amps, but the total combined cannot exceed ~56amps due to the fact that the main transformer/output caps has a limit.
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If so what does this mean for Video card requirements that state for example 22 Amps needed on 12V rail.
That figure is usually given for the total amount of combined amps for the 12v rails. A PCI-Express video card can consume up to around 150watts max: 75watts from the actual 16X connector and another 75watts from the 6-pin PCI-Express power connector.
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Are More Rails Better or is just one or two Rails with High amperage better then it being spread out?
It depends on the scenario. Lets say in a SLI configuration both PCI-Express power connectors draw power from the same 12v rail... then that particular rail can become overloaded since per the Intel ATX v2.X specs the max amps per 12v rail is 20amps.
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I still don't understand how the Mutiple rails are separated. Are they separated by actual connections or are they virtual.
The 4/8pin 12v CPU power connector usually has its own dedicated 12v rail. The other rails are for the ATX connector, molex, sata, PCI-express, etc. The manufacturer decides on how to distribute the connectors on which rail. Usually the only way to know which power connectors are on which label is to open up the PSU and take a look where the groups of 12v wires are soldered onto the PCB. They will be labeled 12v1, 12v2, etc.
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In that does the power supply "sense" where more Amps are needed/drawn?
The output caps can only supply so much power, hence they are given a uF (microfarad) rating. When the power draw exceeds the output rating of the capacitor the PSU cannot supply enough power, usually resulting in a reboot/freeze of the system.
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For Singled Railed Power supplies are they more unstable because all the amps are on one rail or are they More Stable then Ones with multiple Rails. Kind of related to my first Question.
Again it has to do with the power draw. With a large single 12v rail the manufacturer has to use a higher rated output capacitor (which costs more obviously). The idea behind multiple 12v rails from the ATX spec is purely for safety reasons. By caping the total 12v output per rail to 20 amps (or lower) the risk of a cap exploding, etc. from heavy power draws is reduced.