Shortcuts to games on front.. Stuff Folder.. which holds ALL of my music and then another misc folders(s) as well. There are a few other folders on my Desktop, those being what I access most. Program files holds all of my... program files.
Basically its that much. I have my game shortcuts and then my Stuff Folder, and then my program files, blah blah blah. Now my "Stuff" folder is highly organized. A folder for everything. As for my music, If I have at least 4 songs of a band then it gets its own folder. If not, it goes in the Misc Music folder, where as the Misc folder is for crazy junk that i don't have a ton of yet.
Very clean and organized though, unlike my room..
And yes, Jam's desktop is VERY messy... in fact its kind of sad.. haha