It's different. On Windows, it has brilliant debugging capabilities. IntelliJ is maybe the best general-purpose IDE out there, so even being comparable to IntelliJ is a big feat.

For fans of IntelliJ, there is the Resharper plugin (from the same guys) that brings over much of the refactorings, quickfixes and other features that you know and love from IntelliJ.

I am not a Windows user or developer. But JetBrain's Resharper brings much of IntelliJ's refactoring support to Visual Studio.