A 2015 preview can be downloaded here:
https://bitbucket.org/michaelvolz/redmuffin.emphasize/downloads/redmuffin.emphasize.vsix
I changed the name and will soon make a separate page here on visualstudiogallery.com

The Configuration options e.g. for the small comment:

Options > Environment > Fonts and Colors > MA Small Comment

and everything else:

Options > Multi Adornment > General

The ForegroundColor of 'MA #Region' is now the Textcolor for collapsed Regions!
The Foregorundcolors of 'MA #Else' ... 'MA #Region Border' have no functionality, only the Backgroundcolors.

2014-04-13 - Update: v2.2.6.0

moved region adornments before the selection layer
fixed capital X being recognized as deleted-comment
added C/C++ content types to comment modules
added C/C++ content types to region modules
added C/C++ '#pragma region' and '#pragma endregion' keywords
added support for multi-line comment code blocks
added option for displaying or hiding collpased region adornments

Older release notes: https://bitbucket.org/michaelvolz/redmuffin.multiadornment/wiki/Release%20Notes

redmuffin.MultiAdornment

Extension for Visual Studio 2012 & 2013 places visual adornments around regions and preprocessor directives and highlights special code comments in C#, VB.Net and javaScript even HTML and Razor comments.

// x deleted// - small// + big// ! important// ? question

Whitespace around symbols/keywords

//  ! important//?question//+ big//  -small

User defined symbols/keywords like "Hack, Todo, Attention, Warning"

  // HACK: this is clearly a hack...

HTML comments

<!-- + even HTML comments work in all supported files -->

Razor comments

@* ? finally, Razor comments *@

Single line 'multi-line comments'

public string Property { get; /* ! 'multi-line comment' */ set; }

XML doc comments

/// <devdoc>/// ! Make sure this is tripple checked!/// </devdoc>

Multiple comments in one line

start <!-- ! HTML --> <div>something</div> @* ? Razor *@ lorem /* multi-line */ <div>something else</div> // Note: and the end

The extension is open source and can be downloaded from:

https://bitbucket.org/michaelvolz/redmuffin.multiadornment

Any feedback or suggestions are welcome!