OSX Specific:
TextMate,
Terminal,
DTerm (awesome timesaver),
Digital ColorMeter (Pixel measurement, CMD+SHIFT+C FTW)
General: Firebug, Dropbox (automatic backups!), Git, Photoshop, Customized .bashrc, .irbrc
Ruby specific: Sketches (with the default sketches dir symlinked into Dropbox)
These are probably 95% of where I spend my time. My workflow is generally: I use Spotlight and Finder to find things and then DTerm to interact with them or launch TextMate. If I want to dink around in Ruby I will go into irb and start a new sketch which will pop up TextMate and away I code.