JetBrains have released ReSharper 3.0, but I think they may have to re-brand it, as it now has extensive VB.NET support too:

ReSharper is proud to enable Visual Basic .NET development, providing full support and a host of productivity features. Visual Basic developers will be sure to enjoy a truly enhanced Visual Studio experience thanks to ReSharper’s quick navigation and search, all the important code refactorings, full-fledged code assistance, code completion & generation, code templates, and a lot more.

Maybe they can call it ReCLR or ReNetter or something like that…

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