My HTPC runs Vista Home Premium. I built it to play DVD/HD-DVD/Blu-ray. It has 3 gigs of RAM. I've had some issues with a bluetooth keyboard/mouse combo and the text-based LCD on the outside of the HTPC case for displaying movie info, time/weather, news, etc.
Overall I'd say it's been a positive experience. My choice was buying Media Center version of XP or using a "free" copy of Vista I had laying around from an Intel promo. I had to immediately disable UAC and end up having to disable sleep mode because it tended to require a reboot to come back from sleep mode.
I would not hesitate to get another PC with Vista, I would just make sure to have a good chunk of RAM. I got 2 gigs of Corsair Dominator for $30 after mail-in rebate, so there's no excuse not to have plenty of memory.
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