Multi-process builds in Visual Studio 2010: Worth it?

Definitely YES . I worked on a large application which took around 35 minutes to build when something was modified (In Visual Studio). We used IncrediBuild for that (to speed up the compilation process, from 35 minutes to 5 minutes) - to be truly distributed.

In your case it is possible that /MP switch will make some difference - but not that much compared to distcc (unix or compatible environment) or IncrediBuild.

You could certainly do a multi-core build on vs2008 with pch (although oddly only from within the IDE not on the commandline).

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