Visual Studio Package - How can I get hold of the information in the locals window?

It is not possible to get ahold of the value as an object. Mainly because the value doesn't exist in the same process as your VS Package. It exists in the debugee process.

The Visual Studio Debugger has to go through the CLR API's to manipulate the value. The best you can do is get ahold of the string value from the VS Package.

You can get access to actual objects using a Visual Studio Visualizer. The info can be found here.

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