Needs a VisualStudio option?!
One may prefer developing without an interactive debugger because they want to be working in a language or environment where an interactive debugger is unavailable.
You can also have an interactive debugger without an IDE.
What I meant with "interactive debugger" was a debugger where stepping and breakpoints are set in the main editor, and values/watches are also there. Editors that handle this are in my opinion pretty much IDE's.