A while back there was a BTC marketplace where among other things, I spent 1 BTC on a steam key for the game Portal (a poor trade in hindsight).
But they shut down and the only other place that I can think of that accepts BTC is humblebundle.com - and presumably they convert it to USD right away.
Actually:
> Bitcoin payments have been disabled for the Humble Capcom Rising Bundle.
So, yea, who accepts BTC right now?