http://www.bedfordrobotics.org/extras/mydesktop.jpg
Picture is from the website of one of the best BF2 mods out there, Project Reality. I try to keep my desktop neat most of the time, but iTunes puts an icon on there every time I run it.
It's Windows Vista Home Basic, but I hate the resource hogging Aero interface. Most of my important apps are located in the Quicklaunch area, everything else is in the Start Menu.